Neighborhood Deprivation and Unmet Health Care Needs: A Multilevel Analysis of Older Individuals in South Korea
Objectives In this study the relationship between neighborhood deprivation and the unmet health care needs of elderly individuals (≥ 65 years) was examined. Some previous studies suggested that neighborhood characteristics affect access to health care, yet research on the unmet needs of older indivi...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korea Disease Control and Prevention Agency
2019-10-01
|
| Series: | Osong Public Health and Research Perspectives |
| Subjects: | |
| Online Access: | http://ophrp.org/upload/phrp-10-5/ophrp-10-295.pdf |
| _version_ | 1797714212428972032 |
|---|---|
| author | Seung Eun Lee Miyeon Yeon Chul-Woung Kim Tae-Ho Yoon Dongjin Kim Jihee Choi |
| author_facet | Seung Eun Lee Miyeon Yeon Chul-Woung Kim Tae-Ho Yoon Dongjin Kim Jihee Choi |
| author_sort | Seung Eun Lee |
| collection | DOAJ |
| description | Objectives In this study the relationship between neighborhood deprivation and the unmet health care needs of elderly individuals (≥ 65 years) was examined. Some previous studies suggested that neighborhood characteristics affect access to health care, yet research on the unmet needs of older individuals is limited. Methods Multilevel logistic regression analysis was used to assess the relationship of neighborhood-level factors with unmet health care needs due to costs, adjusting for individual-level factors, in individuals ≥ 65 years in the 2017 Korean Community Health Survey (n = 63,388). Results There were 2.6% of elderly individuals who experienced unmet health care needs due to costs. Following adjustment for individual and neighborhood characteristics, the neighborhood deprivation in urban areas was found to have an inverse association with unmet needs (odds ratio = 0.50; 95% confidence interval = 0.24–1.06) for the most deprived quartile versus the least deprived quartile). However, in rural areas neighborhood deprivation was not a significant variable. Among the individual-level variables, household income was one of the strongest correlates with unmet needs in both urban and rural areas. Conclusion The present findings suggest that targeted policy interventions reflecting both neighborhood and individual characteristics, should be implemented to reduce the unmet health care needs of elderly individuals. |
| first_indexed | 2024-03-12T07:48:53Z |
| format | Article |
| id | doaj.art-2a143ef4dd6342fe8f2806a2270a66f5 |
| institution | Directory Open Access Journal |
| issn | 2210-9099 |
| language | English |
| last_indexed | 2024-03-12T07:48:53Z |
| publishDate | 2019-10-01 |
| publisher | Korea Disease Control and Prevention Agency |
| record_format | Article |
| series | Osong Public Health and Research Perspectives |
| spelling | doaj.art-2a143ef4dd6342fe8f2806a2270a66f52023-09-02T20:45:40ZengKorea Disease Control and Prevention AgencyOsong Public Health and Research Perspectives2210-90992019-10-0110529530610.24171/j.phrp.2019.10.5.063468Neighborhood Deprivation and Unmet Health Care Needs: A Multilevel Analysis of Older Individuals in South KoreaSeung Eun LeeMiyeon YeonChul-Woung KimTae-Ho YoonDongjin KimJihee ChoiObjectives In this study the relationship between neighborhood deprivation and the unmet health care needs of elderly individuals (≥ 65 years) was examined. Some previous studies suggested that neighborhood characteristics affect access to health care, yet research on the unmet needs of older individuals is limited. Methods Multilevel logistic regression analysis was used to assess the relationship of neighborhood-level factors with unmet health care needs due to costs, adjusting for individual-level factors, in individuals ≥ 65 years in the 2017 Korean Community Health Survey (n = 63,388). Results There were 2.6% of elderly individuals who experienced unmet health care needs due to costs. Following adjustment for individual and neighborhood characteristics, the neighborhood deprivation in urban areas was found to have an inverse association with unmet needs (odds ratio = 0.50; 95% confidence interval = 0.24–1.06) for the most deprived quartile versus the least deprived quartile). However, in rural areas neighborhood deprivation was not a significant variable. Among the individual-level variables, household income was one of the strongest correlates with unmet needs in both urban and rural areas. Conclusion The present findings suggest that targeted policy interventions reflecting both neighborhood and individual characteristics, should be implemented to reduce the unmet health care needs of elderly individuals.http://ophrp.org/upload/phrp-10-5/ophrp-10-295.pdfunmet health care needaccesselderlymultilevel analysisneighborhoodcommunity health survey |
| spellingShingle | Seung Eun Lee Miyeon Yeon Chul-Woung Kim Tae-Ho Yoon Dongjin Kim Jihee Choi Neighborhood Deprivation and Unmet Health Care Needs: A Multilevel Analysis of Older Individuals in South Korea Osong Public Health and Research Perspectives unmet health care need access elderly multilevel analysis neighborhood community health survey |
| title | Neighborhood Deprivation and Unmet Health Care Needs: A Multilevel Analysis of Older Individuals in South Korea |
| title_full | Neighborhood Deprivation and Unmet Health Care Needs: A Multilevel Analysis of Older Individuals in South Korea |
| title_fullStr | Neighborhood Deprivation and Unmet Health Care Needs: A Multilevel Analysis of Older Individuals in South Korea |
| title_full_unstemmed | Neighborhood Deprivation and Unmet Health Care Needs: A Multilevel Analysis of Older Individuals in South Korea |
| title_short | Neighborhood Deprivation and Unmet Health Care Needs: A Multilevel Analysis of Older Individuals in South Korea |
| title_sort | neighborhood deprivation and unmet health care needs a multilevel analysis of older individuals in south korea |
| topic | unmet health care need access elderly multilevel analysis neighborhood community health survey |
| url | http://ophrp.org/upload/phrp-10-5/ophrp-10-295.pdf |
| work_keys_str_mv | AT seungeunlee neighborhooddeprivationandunmethealthcareneedsamultilevelanalysisofolderindividualsinsouthkorea AT miyeonyeon neighborhooddeprivationandunmethealthcareneedsamultilevelanalysisofolderindividualsinsouthkorea AT chulwoungkim neighborhooddeprivationandunmethealthcareneedsamultilevelanalysisofolderindividualsinsouthkorea AT taehoyoon neighborhooddeprivationandunmethealthcareneedsamultilevelanalysisofolderindividualsinsouthkorea AT dongjinkim neighborhooddeprivationandunmethealthcareneedsamultilevelanalysisofolderindividualsinsouthkorea AT jiheechoi neighborhooddeprivationandunmethealthcareneedsamultilevelanalysisofolderindividualsinsouthkorea |