ArticlePopulation health metrics2020
Comparison of three small-area mortality metrics according to urbanity in Korea: the standardized mortality ratio, comparative mortality figure, and life expectancy.
Article in Population health metrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Suicide rates among physicians compared with the general population in studies from 20 countries: gender stratified systematic review and meta-analysis.BMJ (Clinical research ed.) · 2024Pooled it
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- Addressing the Knowledge Deficit in Hospital Bed Planning and Defining an Optimum Region for the Number of Different Types of Hospital Beds in an Effective Health Care System.International journal of environmental research and public health · 2023Review
- Contributions of the life expectancy gap reduction between urban and rural areas to the increase in overall life expectancy in South Korea from 2000 to 2019.International journal for equity in health · 2023Article
- Widening educational inequalities in mortality in more recent birth cohorts: a study of 14 European countries.Journal of epidemiology and community health · 2023Article
- Disability type-specific mortality patterns and life expectancy among disabled people in South Korea using 10-year combined data between 2008 and 2017.Preventive medicine reports · 2022Article
- [Clinical and epidemiological features of COVID-19-related deaths in Tunisia before the emergence of VOCs (March 2020-February 2021)].The Pan African medical journal · 2022Article
- Cancer-free Life Expectancy in Small Administrative Areas in Korea and Its Associations with Regional Health Insurance Premiums.Journal of Korean medical science · 2021Article
- Spatio-temporal Analysis of District-level Life Expectancy from 2004 to 2017 in Korea.Journal of Korean medical science · 2021Article
- Life Expectancy in Areas around Subway Stations in the Seoul Metropolitan Area in Korea, 2008-2017.Journal of Korean medical science · 2020Article
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4 authors.
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Abstract
backgroundThis study aimed to compare three small-area level mortality metrics according to urbanity in Korea: the standardized mortality ratio (SMR), comparative mortality figure (CMF), and life expectancy (LE) by urbanity.
methodsWe utilized the National Health Information Database to obtain annual small-area level age-specific numbers of population and deaths in Korea between 2013 and 2017. First, differences in the SMR by urbanity were examined, assuming the same age-specific mortality rates in all small areas. Second, we explored the differences in ranking obtained using the three metrics (SMR, CMF, and LE). Third, the ratio of CMF to SMR by population was analyzed according to urbanity.
resultsWe found that the age-specific population distributions in urbanized areas were similar, but rural areas had a relatively old population structure. The age-specific mortality ratio also differed by urbanity. Assuming the same rate of age-specific mortality across all small areas, we found that comparable median values in all areas. However, areas with a high SMR showed a strong predominance of metropolitan areas. The ranking by SMR differed markedly from the rankings by CMF and LE, especially in areas of high mortality, while the latter two metrics did not differ notably. The ratio of CMF to SMR showed larger variations in small areas in rural areas, particularly in those with small populations, than in metropolitan and urban areas.
conclusionsIn a comparison of multiple SMRs, bias could exist if the study areas have large differences in population structure. The use of CMF or LE should be considered for comparisons if it is possible to acquire age-specific mortality data for each small area.
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