ArticleJournal of Korean medical science2026
Effect of Socioeconomic Status on Lung Function in the Korean General Population.
Article in Journal of Korean medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSocioeconomic status (SES) significantly influences the incidence and severity of chronic obstructive pulmonary disease. This study investigated the impact of SES on incidence of airflow obstruction and lung function decline within a general population cohort in Republic of Korea (South Korea).
methodsWe utilized data from the Korean Genome and Epidemiology Study Ansan-Ansung Cohort, collected between 2001 and 2014. A total of 10,030 participants were included in the longitudinal analysis. Socioeconomic status was classified using four key indicators: area of residence (urban, n = 5,012; rural, n = 5,018), marital status (single, n = 974; married, n = 8,987), education level (elementary school, n = 3,355; middle or high school, n = 5,287; college or above, n = 1,305), and income (< $1,460, n = 6,413; $1,460-2,920, n = 2,705; > $2,920, n = 729), among participants with available data.
resultsOver a 12-year follow-up period, individuals living in rural areas experienced a more rapid decline in both mean forced expiratory volume in 1 second (FEV₁) and forced vital capacity (FVC) compared to those in urban areas (
conclusionThis study demonstrated a significant association between lower SES and incidence of airflow obstruction and progression in Korea. Lower SES, characterized by rural residence, lower educational status, and lower income, was associated with poorer baseline health, higher comorbidity rates, and more rapid lung function decline over a 12-year period.
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