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Age–Period–Cohort Analysis of Trends in Infectious Disease Mortality in South Korea from 1983 to 2017

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  • Hee Sook Kim

    (Central Disease Control Headquarters, Korea Disease Control and Prevention Agency, Cheongju 28159, Korea)

  • Sang Jun Eun

    (Department of Preventive Medicine, Chungnam National University College of Medicine, Daejeon 35015, Korea)

Abstract

We aimed to describe the infectious disease (ID) mortality trends and evaluate age–period–cohort (APC) effects on ID mortality in Korea. Using cause-of-death and census population estimates data from 1983–2017, age-standardized ID mortality trends were investigated by joinpoint regression analysis. The APC effects on ID mortality were estimated using intrinsic estimator models. The age effect showed a J-shaped concave upward curve. Old age, especially ≥70 years, was a critical factor for ID deaths. Similar to the W-shaped period curve, ID mortality rapidly decreased due to economic development and the expansion of health coverage in the 1980s, decelerated with increasing inequality, surged due to the 1997 economic crisis, and has gradually increased since the mid-2000s. The cohort effect showed an inverted U-shape. The increasing cohort effect due to the deterioration of living standards led to a decreasing trend after the independence of Korea. Notwithstanding the slowdown during the 1950–1953 Korean War, educational expansion, economic growth, fertility reduction, and the improvement of ID-related policies might have led to a continued decline among the cohorts born since the 1960s. Diverse socioeconomic events may have influenced ID mortality trends in Korea via period and cohort effects. Policies to reduce the growing burden of ID deaths should be further improved.

Suggested Citation

  • Hee Sook Kim & Sang Jun Eun, 2021. "Age–Period–Cohort Analysis of Trends in Infectious Disease Mortality in South Korea from 1983 to 2017," IJERPH, MDPI, vol. 18(3), pages 1-12, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:906-:d:484390
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    References listed on IDEAS

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    2. Lee, Chulhee, 2014. "In utero exposure to the Korean War and its long-term effects on socioeconomic and health outcomes," Journal of Health Economics, Elsevier, vol. 33(C), pages 76-93.
    3. Marc Suhrcke & David Stuckler & Jonathan E Suk & Monica Desai & Michaela Senek & Martin McKee & Svetla Tsolova & Sanjay Basu & Ibrahim Abubakar & Paul Hunter & Boika Rechel & Jan C Semenza, 2011. "The Impact of Economic Crises on Communicable Disease Transmission and Control: A Systematic Review of the Evidence," PLOS ONE, Public Library of Science, vol. 6(6), pages 1-12, June.
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