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Measuring the Burden of Disease Due to Preterm Birth Complications in Korea Using Disability-Adjusted Life Years

Hyun Joo Kim1, Min-Woo Jo2, Seok-Hwan Bae3

  • 1Department of Nursing Science, Shinsung University, Dangjin 31801, Korea. hyjkim2012@gmail.com.

International Journal of Environmental Research and Public Health
|February 15, 2019
PubMed

Insights

The burden of premature birth in Korea, measured in disability-adjusted life years (DALY), is significant. This study quantifies the impact of preterm birth complications on public health in Korea.

Area of Science:

  • Public Health
  • Neonatal Health
  • Epidemiology

Background:

  • Premature birth rates in Korea rose from 13.5% in 2008 to 15.7% in 2013.
  • Complications from preterm birth are a primary driver of neonatal mortality and morbidity.

Purpose of the Study:

  • To estimate the public health burden of premature birth in Korea using disability-adjusted life years (DALY).
  • To quantify the impact of specific preterm birth complications on mortality and disability.

Main Methods:

  • Calculated Years of Life Lost (YLL) using 2012 National Health Insurance mortality data.
  • Determined Years Lost due to Disability (YLD) based on prevalence, disability weights (DW) from a 2013/2015 study, and complication duration.
  • Included nine specific International Classification of Diseases-10th Revision (ICD-10) codes for preterm birth complications.

Main Results:

  • The total burden of premature birth in Korea was estimated at 79,574 DALY.
  • Years of Life Lost (YLL) accounted for 43,725 DALY, while Years Lost due to Disability (YLD) accounted for 35,849 DALY.
  • The health burden was higher in males (43,603 DALY) compared to females (35,970 DALY).

Conclusions:

  • This study provides crucial data on the DALY burden of premature birth in Korea.
  • Findings can inform policy evaluations aimed at reducing preterm birth and its associated health consequences.
  • The higher burden in males highlights potential sex-specific impacts of preterm birth complications.

Keywords:
burden of diseasedisability-adjusted life yearpremature birth

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