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Did the socioeconomic inequalities in avoidable and unavoidable mortality worsen during the first year of the COVID-19 pandemic in Korea?
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Rora Oh, Myoung-Hee Kim, Juyeon Lee, Rangkyoung Ha, Jungwook Kim
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Epidemiol Health. 2023;45:e2023072. Published online August 3, 2023
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DOI: https://doi.org/10.4178/epih.e2023072
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 Abstract
Summary
 PDF Supplementary Material
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Abstract
OBJECTIVES
This study examined changes in socioeconomic inequalities in mortality in Korea before and after the outbreak of coronavirus disease 2019 (COVID-19).
METHODS From 2017 to 2020, age-standardized mortality rates were calculated for all-cause deaths, avoidable deaths (preventable deaths, treatable deaths), and unavoidable deaths using National Health Insurance claims data and Statistics Korea’s cause of death data. In addition, the slope index of inequality (SII) and the relative index of inequality (RII) by six income levels (Medical Aid beneficiary group and quintile of health insurance premiums) were computed to analyze the magnitude and change of mortality inequalities.
RESULTS All-cause and avoidable mortality rates decreased steadily between 2017 and 2020, whereas unavoidable mortality remained relatively stable. In the case of mortality inequalities, the disparity in all-cause mortality between income classes was exacerbated in 2020 compared to 2019, with the SII increasing from 185.44 to 189.22 and the RII increasing from 3.99 to 4.29. In particular, the preventable and unavoidable mortality rates showed an apparent increase in inequality, as both the SII (preventable: 91.31 to 92.01, unavoidable: 69.99 to 75.38) and RII (preventable: 3.42 to 3.66, unavoidable: 5.02 to 5.89) increased.
CONCLUSIONS In the first year of the COVID-19 pandemic, mortality inequality continued to increase, although there was no sign of exacerbation. It is necessary to continuously evaluate mortality inequalities, particularly for preventable and unavoidable deaths.
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Summary
Korean summary
이 연구는 COVID-19 발생 전후 한국에서의 사망률 추이와 사망률 불평등 변화를 조사했다. 2017~2020년 사이에 총사망률과 회피가능사망률은 줄어들었지만, 사망률의 사회경제적 불평등은 더 커지는 경향을 보였다. 특히 예방가능사망과 회피불가능사망에서 불평등이 커져 지속적인 추적과 평가가 필요하다.
Key Message
This study examined the trends in mortality rates and changes in mortality inequality in Korea before and after the onset of COVID-19. Between 2017 and 2020, while the all-cause and avoidable mortality rates decreased, there was a growing trend of inequality in mortality rates based on income levels. Particularly, inequalities in preventable and unavoidable deaths have increased, emphasizing the need for ongoing evaluation.
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Estimation of the number of working population at high-risk of COVID-19 infection in Korea
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Juyeon Lee, Myounghee Kim
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Epidemiol Health. 2020;42:e2020051. Published online July 9, 2020
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DOI: https://doi.org/10.4178/epih.e2020051
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Abstract
Summary
PDFSupplementary Material
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Abstract
OBJECTIVES
We aimed to identify occupational groups at high-risk of coronavirus disease 2019 (COVID-19) infection in Korea, to estimate the number of such workers, and to examine the prevalence of protective resources by employment status.
METHODS Based on the sixth Standard Occupational Classification codes, 2015 census data were linked with data from the fifth Korean Working Conditions Survey, which measured how frequently workers directly come into contact with people other than fellow employees in the workplace.
RESULTS A total of 30 occupational groups, including 7 occupations from the healthcare and welfare sectors and 23 from other sectors, were classified as high-risk occupational groups involving frequent contact with people other than fellow employees in the workplace (more than half of the working hours). Approximately 1.4 million (women, 79.1%) and 10.7 million workers (46.3%) are employed in high-risk occupations. Occupations with a larger proportion of women are more likely to be at a high-risk of infection and are paid less. For wage-earners in high-risk occupations, protective resources to deal with COVID-19 (e.g., trade unions and health and safety committees) are less prevalent among temporary or daily workers than among those with permanent employment.
CONCLUSIONS Given the large number of Koreans employed in high-risk occupations and inequalities within the working population, the workplace needs to be the key locus for governmental actions to control COVID-19, and special consideration for vulnerable workers is warranted.
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Summary
Korean summary
코로나바이러스감염증-19 (코로나19) 유행 상황에서 감염 고위험 직업군 종사자는 보건의료복지 업종에서 총 140만 명, 그 외 업종에서 총 1,073만 명으로 추정된다. 고위험 사업장에 대해 정부가 안전보건 관리·감독·규제 및 지원 체계를 수립하고, 방역대책의 중심에 노동자의 안전과 건강 보호를 두는 관점의 전환이 필요하다. 우선 당장 역학조사 과정에서 직업관련 요소를 자세히 확인하고, 직업관련 감염에 대한 모니터링과 그에 걸맞는 대책을 마련해야 한다.
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Citations
Citations to this article as recorded by  - Managing the unknown or the art of preventing SARS-CoV-2 infection in workplaces in a context of evolving science, precarious employment, and communication barriers. A qualitative situational analysis in Quebec and Ontario
Daniel Côté, Ellen MacEachen, Ai-Thuy Huynh, Amelia León, Marie Laberge, Samantha Meyer, Shannon Majowicz, Joyceline Amoako, Yamin Jahangir, Jessica Dubé
Frontiers in Public Health.2024;[Epub] CrossRef - Mobility and Thermal Comfort Assessment of Personal Protective Equipment for Female Healthcare Workers: Impact of Protective Levels and Body Mass Index
Do-Hee Kim, Youngmin Jun, Ho-Joon Lee, Gyeongri Kang, Cho-Eun Lee, Joo-Young Lee
Fashion & Textile Research Journal.2024; 26(1): 123. CrossRef - The Relationship between COVID-19 Exposure Risk and Burnout in Prehospital Emergency Medical Technicians
Karim Javanmardi, Neda Gilani, Mansour Ghafourifard, Abbas Dadashzadeh, Javad Dehghannejad, Hossein Feyzollahzade
Journal of Caring Sciences.2023; 12(2): 123. CrossRef - National and regional trends in the prevalence of type 2 diabetes and associated risk factors among Korean adults, 2009–2021
Jiyeon Oh, Soeun Kim, Myeongcheol Lee, Sang Youl Rhee, Min Seo Kim, Ju-Young Shin, Hyunjung Lim, Seung Won Lee, Masoud Rahmati, Sunyoung Kim, Dong Keon Yon
Scientific Reports.2023;[Epub] CrossRef - Evaluation of Vaccination and Polymerase Chain Reaction Test Positivity of Hospital Personnel During the COVID-19 Pandemic
Yasemin ASLAN, Ekrem SEVİM, Sinem GÜLER
Acibadem Universitesi Saglik Bilimleri Dergisi.2023;[Epub] CrossRef - Investigating the transmission risk of infectious disease outbreaks through the Aotearoa Co-incidence Network (ACN): a population-based study
S.M. Turnbull, M. Hobbs, L. Gray, E.P. Harvey, W.M.L. Scarrold, D.R.J. O'Neale
The Lancet Regional Health - Western Pacific.2022; 20: 100351. CrossRef - Temporal trends of sex differences for COVID-19 infection, hospitalisation, severe disease, intensive care unit (ICU) admission and death: a meta-analysis of 229 studies covering over 10M patients
Bart G. Pijls, Shahab Jolani, Anique Atherley, Janna I.R. Dijkstra, Gregor H.L. Franssen, Stevie Hendriks, Evan Yi-Wen Yu, Saurabh Zalpuri, Anke Richters, Maurice P. Zeegers
F1000Research.2022; 11: 5. CrossRef - Public Policy Measures to Increase Anti-SARS-CoV-2 Vaccination Rate in Russia
Dmitry V. Boguslavsky, Natalia P. Sharova, Konstantin S. Sharov
International Journal of Environmental Research and Public Health.2022; 19(6): 3387. CrossRef - The Gendered Outbreak of COVID-19 in South Korea
Jinwoo Lee
Feminist Economics.2022; 28(4): 89. CrossRef - COVID-19 Fear, Health Behaviors, and Subjective Health Status of Call Center Workers
Hye-Ryoung Kim, Hwa-Mi Yang
International Journal of Environmental Research and Public Health.2022; 19(15): 9005. CrossRef - Trends in Occupational Infectious Diseases in South Korea and Classification of Industries According to the Risk of Biological Hazards Using K-Means Clustering
Saemi Shin, Won Suck Yoon, Sang-Hoon Byeon
International Journal of Environmental Research and Public Health.2022; 19(19): 11922. CrossRef - Self‐Report Assessment of Nurses’ Risk for Infection After Exposure to Patients With Coronavirus Disease (COVID‐19) in the United Arab Emirates
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Journal of Nursing Scholarship.2021; 53(2): 171. CrossRef - A rapid scoping review of COVID‐19 and vulnerable workers: Intersecting occupational and public health issues
Daniel Côté, Steve Durant, Ellen MacEachen, Shannon Majowicz, Samantha Meyer, Ai‐Thuy Huynh, Marie Laberge, Jessica Dubé
American Journal of Industrial Medicine.2021; 64(7): 551. CrossRef - The Impact of COVID-19 Pandemic on Workplace Accidents in Korea
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International Journal of Environmental Research and Public Health.2021; 18(16): 8407. CrossRef - Infection and Risk Perception of SARS-CoV-2 among Airport Workers: A Mixed Methods Study
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International Journal of Environmental Research and Public Health.2020; 17(23): 9002. CrossRef
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