Inequalities in External-Cause Mortality in 2018 across Industries in Republic of Korea.

Saf Health Work

Department of Occupational and Environmental Medicine, Ajou University Hospital, Suwon, Republic of Korea.

Published: March 2022

AI Article Synopsis

  • The study investigates external-cause mortality (deaths from incidents like suicide and transport accidents) among workers in South Korea, using data from 2018.
  • Age- and sex-standardized mortality rates showed significant variations across different industries, with certain sectors like wholesale and transportation experiencing higher suicide rates.
  • There was a notable negative correlation between education level and mortality rates, indicating that lower educational attainment is linked to increased mortality from external causes, emphasizing the need for targeted public health interventions.

Article Abstract

Background: External-cause mortality is an important public health issue worldwide. Considering its significance to workers' health and inequalities across industries, we aimed to describe the state of external-cause mortality and investigate its difference by industry in Republic of Korea based on data for 2018.

Methods: Data obtained from the Statistics Korea and Korean Employment Information System were used. External causes of death were divided into three categories (suicide, transport accident, and others), and death occurred during employment period or within 90 days after unemployment was regarded as workers' death. We calculated age- and sex-standardized mortalities per 100,000, standardized mortality ratios (SMRs) compared to the general population and total workers, and mortality rate ratios (RRs) across industries using information and communication as a reference. Correlation analyses between income, education, and mortality were conducted.

Results: Age- and sex-standardized external-cause mortality per 100,000 in all workers was 29.4 (suicide: 16.2, transport accident: 6.6, others: 6.6). Compared to the general population, all external-cause and suicide SMRs were significantly lower; however, there was no significant difference in transport accidents. When compared to total workers, wholesale, transportation, and business facilities management showed higher SMR for suicide, and agriculture, forestry, and fishing, mining and quarrying, construction, transportation and storage, and public administration and defense showed higher SMR for transport accidents. A moderate to strong negative correlation was observed between education level and mortality (both age- and sex-standardized mortality rates and SMR compared to the general population).

Conclusion: Inequalities in external-cause mortalities from suicide, transport accidents, and other causes were found. For reducing the differences, improved policies are needed for industries with higher mortalities.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9347002PMC
http://dx.doi.org/10.1016/j.shaw.2021.12.001DOI Listing

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