A Systematic Review of Studies on Public Health Using Multilevel Analysis: Focused on Research Trends and The Assessment of Risk of Bias

신상수,; 우경숙,; 신영전,

doi:10.15709/hswr.2015.35.4.157

Cited by 6 publications

(6 citation statements)

References 28 publications

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“…Korean publications recommended 30 or more cases for sub-national studies [ 3 ]. This study included 25 cases, as this was the official number of administrative districts in Seoul, and NHIS does not allow the publication of studies using smaller administrative units (e.g., dongs).…”

Section: Discussionmentioning

confidence: 99%

“…It will be useful to include more independent variables. On average, 4.64 area-level independent factors were used in previous studies [ 3 ]. More refined variables can be produced if the NHIS income database is linked to other key administrative datasets.…”

Section: Discussionmentioning

confidence: 99%

“…However, population-based information on income from tax authorities has begun to be available for research starting from Scandinavian countries [ 2 ]. This provides an opportunity to make a breakthrough, as the improvement of the quality of individual income status and area-level factors such as Gini coefficient of income has been an important remaining task in health inequality research [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…This study focuses on the current and future elderly—middle-aged and older adults (MOAs) who were aged 45 years or more—across small areas (districts, gu in Korean) in Seoul. Gu works as the primary source of community identity and a basic unit of local public policy [ 3 , 5 ]. This study is a population-based study where an administrative big data from tax records are fully utilized to measure income-related mortality inequalities, as well as its variations and covariates across sub-national districts.…”

Section: Introductionmentioning

confidence: 99%

“…For district-level local governments to implement appropriate health promotion policies, it is important to identify significant district-level social factors. Previous studies have used demographic and socioeconomic characteristics of districts [ 3 , 8 , 15 , 19 , 20 , 23 , 24 , 25 , 26 ]. Demographic factors include variables such as proportions of older adults, the divorced and unemployed population, and single-member households.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Income-Related Mortality Inequalities and Its Social Factors among Middle-Aged and Older Adults at the District Level in Aging Seoul: An Ecological Study Using Administrative Big Data

Kim

You

et al. 2021

IJERPH

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This study investigated income-related health inequality at sub-national level, focusing on mortality inequality among middle-aged and older adults (MOAs). Specifically, we examined income-related mortality inequality and its social factors among MOAs across 25 districts in Seoul using administrative big data from the National Health Insurance Service (NHIS). We obtained access to the NHIS’s full-population micro-data on both incomes and demographic variables for the entire residents of Seoul. Slope Index of Inequality (SII) and Relative Index of Inequality (RII) were calculated. The effects of social attributes of districts on SIIs and RIIs were examined through ordinary least squares and spatial regressions. There were clear income-related mortality gradients. Cross-district variance of mortality rates was greater among the lowest income group. SIIs were smaller in wealthier districts. Weak spatial correlation was found in SIIs among men. Lower RIIs were linked to lower Gini coefficients of income for both genders. SIIs (men) were associated with higher proportions of special occupational pensioners and working population. Lower SIIs and RIIs (women) were associated with higher proportions of female household heads. The results suggest that increasing economic activities, targeting households with female heads, reforming public pensions, and reducing income inequality among MOAs can be good policy directions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Income-Related Mortality Inequalities and Its Social Factors among Middle-Aged and Older Adults at the District Level in Aging Seoul: An Ecological Study Using Administrative Big Data

Kim

You

et al. 2021

IJERPH

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Multilevel Analysis of Factors Associated with Perceived Good Health and Multimorbidity among Older Adults: Using the 2017 Community Health Survey

Boo

Han

Choi

2020

J Korean Acad Community Health Nurs

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This study aimed to identify individual-and regional-level factors associated with perceived good health and multimorbidity among older adults. Methods: Secondary analysis of the 2017 Korea Community Health Survey was conducted on a sample of 67,532 older adults. The individual level data set was combined with regional-level factors from the administrative data released on the Korea National Statistical Office website. Distribution of perceived good health and multimorbidity in 254 public health centers were calculated using sampling weights and presented as percentages. Multilevel logistic regression analyses were used to identify individual-and regional-level factors associated with perceived good health and multimorbidity. Results: Overall, 21.1% of subjects perceived their health to be good, ranging from 9.3% to 39.4% by region. The prevalence of multimorbidity was 15.9%, and varied between 6.6% and 22.6% by region. At the individual level, perceived good health was associated with men, younger age, higher educational levels, higher income levels, and those married and living with a partner and maintaining a healthy lifestyle. At the regional level, higher rates of health center personnel among public officials and higher levels of financial independence were associated with perceived good health. Multimorbidity was associated with marital status and healthy lifestyle, and higher rates of health center personnel among public officials. Conclusion: Regional factors such as health care personnel and local economy could affect population health. Our findings suggest the need to consider individual-and regional-level factors to promote good health among older adults and reduce the health gap by region.

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The Effect of Alcohol Availability on Drinking Behavior: A Multilevel Analysis on Urban Regions

Kwon¹,

Shin²,

Shin³

2018

koreasocialpolicyreview

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A Systematic Review of Studies on Public Health Using Multilevel Analysis: Focused on Research Trends and The Assessment of Risk of Bias

Cited by 6 publications

References 28 publications

Income-Related Mortality Inequalities and Its Social Factors among Middle-Aged and Older Adults at the District Level in Aging Seoul: An Ecological Study Using Administrative Big Data

Income-Related Mortality Inequalities and Its Social Factors among Middle-Aged and Older Adults at the District Level in Aging Seoul: An Ecological Study Using Administrative Big Data

Multilevel Analysis of Factors Associated with Perceived Good Health and Multimorbidity among Older Adults: Using the 2017 Community Health Survey

The Effect of Alcohol Availability on Drinking Behavior: A Multilevel Analysis on Urban Regions

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