Burden of disease in coastal areas of South Korea: An assessment using health insurance claim data

Munkhzul Radnaabaatar, Young Eun Kim, Dun Sol Go, Yunsun Jung, Seok Jun Yoon

    Research output: Contribution to journalArticlepeer-review

    2 Citations (Scopus)


    Background: While measuring and monitoring disease morbidity, it is essential to focus on regions experiencing inequitable health outcomes, especially coastal populations. However, no research investigating population health outcomes in coastal areas has been conducted. Therefore, we aimed to investigate the burden of disease morbidity in coastal areas of South Korea. Methods: Using an administrative division map and the ArcGIS, we identified and included 496 coastal districts. In this observational study, years lived with disability (YLDs) were estimated using incidence-based approaches to calculate the burden of disease in 2015. Incidence and prevalence cases were collected using National Health Insurance Service (NHIS) medical claim data using a specialized algorithm. Results: Age-standardized years lived with disability (ASYLDs) in the coastal areas were 24,398 per 100,000 population, which is greater than the 22,613 YLDs observed nationwide. In coastal areas, the burden of disease morbidity was higher in females than in males. Diabetes mellitus was the leading specific disease of total YLDs per 100,000 population, followed by low back pain, chronic obstructive pulmonary disease, osteoarthritis, and ischemic stroke. Conclusion: In this study, the coastal areas of South Korea carry a higher burden than the national population. Additionally, chronic diseases compose the majority of the health burden in coastal areas. Despite the limitation of data, YLD was the best tool available for evaluating the health outcomes in specific areas, and has the advantage of simplicity and timely analysis.

    Original languageEnglish
    Article number3044
    JournalInternational journal of environmental research and public health
    Issue number17
    Publication statusPublished - 2019 Sept

    Bibliographical note

    Funding Information:
    This research was a part of the project titled ‘The base study to discover and to commercialize for the resources of sea healing to activate marine industry.' Funded by the Ministry of Oceans and Fisheries, Korea. Project number: 20170242.

    Publisher Copyright:
    © 2019 by the authors. Licensee MDPI, Basel, Switzerland.


    • Burden of disease
    • Coastal area
    • Population health
    • South korea

    ASJC Scopus subject areas

    • Pollution
    • Public Health, Environmental and Occupational Health
    • Health, Toxicology and Mutagenesis


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