Income disparity and mortality among patients with alcohol use disorder in South Korea

Chae Woon Kwak, Kyu Tae Han, Chung Mo Nam, Ki Tae Moon, Ho Soon Yoon, Eun Cheol Park

Research output: Contribution to journalArticle

1 Citation (Scopus)

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.

Original languageEnglish
Pages (from-to)358-364
Number of pages7
JournalPsychiatry Research
Volume258
DOIs
Publication statusPublished - 2017 Dec

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Republic of Korea
Alcohols
Mortality
Confidence Intervals
Delivery of Health Care
Poverty
Survival Analysis
Atmosphere
Proportional Hazards Models
Alcohol Drinking
Drinking

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health
  • Biological Psychiatry

Cite this

Woon Kwak, Chae ; Han, Kyu Tae ; Mo Nam, Chung ; Tae Moon, Ki ; Yoon, Ho Soon ; Park, Eun Cheol. / Income disparity and mortality among patients with alcohol use disorder in South Korea. In: Psychiatry Research. 2017 ; Vol. 258. pp. 358-364.
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Income disparity and mortality among patients with alcohol use disorder in South Korea. / Woon Kwak, Chae; Han, Kyu Tae; Mo Nam, Chung; Tae Moon, Ki; Yoon, Ho Soon; Park, Eun Cheol.

In: Psychiatry Research, Vol. 258, 12.2017, p. 358-364.

Research output: Contribution to journalArticle

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