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Volume 16
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10.3390/ijerph16132395
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Article

Is Transient and Persistent Poverty Harmful to Multimorbidity?: Model Testing Algorithms

by
Sukyong Seo
1,
Young Dae Kwon
2,
Ki-Bong Yoo
3,
Yejin Lee
4 and
Jin-Won Noh
4,5,*
1
College of Nursing, Eulji University, Seongnam 13135, Korea
2
Department of Humanities and Social Medicine, College of Medicine and Catholic Institute for Healthcare Management, The Catholic University of Korea, Seoul 06591, Korea
3
Department of Health Administration, Department of Information & Statistics, Yonsei University, Wonju 26493, Korea
4
Department of Healthcare Management, Eulji University, Seongnam 13135, Korea
5
Global Health Unit, Department of Health Sciences, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(13), 2395; https://doi.org/10.3390/ijerph16132395
Submission received: 12 May 2019 / Revised: 1 July 2019 / Accepted: 4 July 2019 / Published: 5 July 2019
(This article belongs to the Special Issue Social, Economic, and Environmental Determinants of Chronic Diseases)
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Abstract

Multimorbidity, the coexistence of two or more long-term medical conditions in one person, has been known to disproportionally affect the low-income population. Little is known about whether long-term income is more crucial for multimorbidity than income measured in one time point; whether persistent poverty is more harmful than transient one; how changes in wealth affect multimorbidity. This is a longitudinal study on a population representative dataset, the Korean Health Panel (KHP) survey (2010–2015). A multivariate analysis was conducted using logistic regressions. A variety of income and wealth variables was investigated. Low-income Koreans (lowest 20%) were more likely to have multiple disorders; average income was more significantly associated with multimorbidity than the yearly income measured for the same year; persistent episodes of poverty had a greater hazard than transient ones; and income changes appeared to be statistically insignificant. We found that long-term income and persistent poverty are important factors of multimorbidity. These findings support the importance of policies reducing the risk of persistent poverty. Policies to promote public investment in education and create jobs may be appropriate to address multimorbidity.
Keywords: multimorbidity; poverty; Korean Health Panel; model testing algorithm; dynamic multimorbidity; poverty; Korean Health Panel; model testing algorithm; dynamic

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MDPI and ACS Style

Seo, S.; Kwon, Y.D.; Yoo, K.-B.; Lee, Y.; Noh, J.-W. Is Transient and Persistent Poverty Harmful to Multimorbidity?: Model Testing Algorithms. Int. J. Environ. Res. Public Health 2019, 16, 2395. https://doi.org/10.3390/ijerph16132395

AMA Style

Seo S, Kwon YD, Yoo K-B, Lee Y, Noh J-W. Is Transient and Persistent Poverty Harmful to Multimorbidity?: Model Testing Algorithms. International Journal of Environmental Research and Public Health. 2019; 16(13):2395. https://doi.org/10.3390/ijerph16132395

Chicago/Turabian Style

Seo, Sukyong, Young Dae Kwon, Ki-Bong Yoo, Yejin Lee, and Jin-Won Noh. 2019. "Is Transient and Persistent Poverty Harmful to Multimorbidity?: Model Testing Algorithms" International Journal of Environmental Research and Public Health 16, no. 13: 2395. https://doi.org/10.3390/ijerph16132395

APA Style

Seo, S., Kwon, Y. D., Yoo, K.-B., Lee, Y., & Noh, J.-W. (2019). Is Transient and Persistent Poverty Harmful to Multimorbidity?: Model Testing Algorithms. International Journal of Environmental Research and Public Health, 16(13), 2395. https://doi.org/10.3390/ijerph16132395

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