지역 간 건강수준 비교를 위한 표준화율 적용의 적절성 평가: 2008년 지역사회건강조사를 바탕으로

권근용; 임도상; 박은자; 정지선; 강기원; 김윤아; 김호; 조성일

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자료유형: 학술저널

저자정보: 권근용 임도상 박은자 정지선 강기원 김윤아 김호 조성일

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제43권 제2호

발행연도: 2010.1

수록면: 174 - 184 (11page)

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Objectives: This study shows the issues that should be considered when applying standardized rates using Community Health Survey(CHS) data. Methods: We analyzed 2008 CHS data. In order to obtain the reliability of standardized rates, we calculated z-score and rank correlation coefficients between direct standardized rate and indirect standardized rate for 31 major indices. Especially, we assessed the change of correlations according to population composition (age and sex), and characteristics of the index. We used Mantel-Haenszel chi-square to quantify the difference of population composition. Results: Among 31 major indices, 29 indices’ z-score and rank correlation coefficients were over 0.9. However, regions with larger differences in population composition showed lower reliability. Low reliability was also observed for the indices specific to subgroups with small denominator such as ‘permanent lesion from stroke’, and the index with large regional variations in age-related differences such as ‘obtaining health examinations’. Conclusions: Standardized rates may have low reliability, if comparison is made between areas with extremely large differences in population composition, or for indicies with large regional variations in age-related differences. Therefore, the special features of standardized rates should be considered when health state are compared among areas.

#Age distribution #Health surveys #Population characteristics #Standardization

참고문헌 (24)

참고문헌 신청

Anderson R / 1998 / Age standardization of death rates: Implementation of the year 2000 standard / Natl Vital Stat Rep 47 (3) : 1 ~ 20

Breslow NE / 1975 / Indirect standardization and multiplicative models for rates, with reference to the age adjustment of cancer incidence and relative frequency data / J Chr

Carson CA / 1994 / Agestandardization in epidemiological data / Int J Epidemiol 23 (3) : 643 ~ 644

Cressie NA / 1991 / Statistics for Spatial Data / John Wiley & Sons Inc : 803 ~ 872

Curtin LR / 1992 / A short history of standardization for vital events / Vital Health Stat 4 (29) : 11 ~ 16

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