TY - JOUR
PY - 2016//
TI - Mortality rates by occupation in Korea: a nationwide, 13-year follow-up study
JO - Occupational and environmental medicine
A1 - Lee, Hye-Eun
A1 - Kim, Hyoung-Ryoul
A1 - Chung, Yun Kyung
A1 - Kang, Seong-Kyu
A1 - Kim, Eun-A
SP - 329
EP - 335
VL - 73
IS - 5
N2 - OBJECTIVE: The present study sought to identify inequalities in cause-specific mortality across different occupational groups in Korea.
METHODS: The cohort included Korean workers enrolled in the national employment insurance programme between 1995 and 2000. Mortality was determined by matching death between 1995 and 2008 according to a nationwide registry of the Korea National Statistical Office. The cohort was divided into nine occupational groups according to the Korean Standard Occupational Classification (KSOC). Age-standardised mortality rates of each subcohort were calculated.
RESULTS: The highest age-standardised mortality rate was identified in KSOC 6 (agricultural, forestry and fishery workers; male (M): 563.0 per 100 000, female (F): 206.0 per 100 000), followed by KSOC 9 (elementary occupations; M: 499.0, F: 163.4) and KSOC 8 (plant, machine operators and assemblers; M: 380.3, F: 157.8). The lowest rate occurred in KSOC 2 (professionals and related workers; M: 209.1, F: 93.3). Differences in mortality rates between KSOC 2 and KSOC 9 (M: 289.9, F: 70.1) and the rate ratio of KSCO9 to KSCO2 (M: 2.39, F: 1.75) were higher in men. The most prominent mortality rate difference was observed in external causes of death (M: 96.9, F: 21.6) and liver disease in men (38.3 per 100 000). Mental disease showed the highest rate ratio (M: 6.31, F: 13.00).
CONCLUSIONS: Substantial differences in mortality rates by occupation were identified. Main causes of death were injury, suicide and male liver disease. Development of policies to support occupations linked with a lower socioeconomic position should be prioritised.
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Language: en
LA - en SN - 1351-0711 UR - http://dx.doi.org/10.1136/oemed-2015-103192 ID - ref1 ER -