J Korean Acad Community Health Nurs.  2021 Sep;32(3):281-291. 10.12799/jkachn.2021.32.3.281.

Typology of Community Health Vulnerabilities and Their Effects on Health Status by Type-Using Community Health Survey

• Park B
• Yi K
• Choi S
• Seo S
• Choi S

• KMID: 2526239
• DOI: http://doi.org/10.12799/jkachn.2021.32.3.281

Abstract

Purpose
This study examined health determinants at a community level and put forward to a typology of five different forms of community health vulnerabilities. We also investigated the differences in the prevalence of chronic diseases, self-rated health, and quality of life (EQ-5D) among the five types.
Methods
Latent class analysis was applied to material, social capital, and health behavior vulnerability variables across 255 regions of South Korea. The data came from 2017 & 2019 Community Health Survey.
Results
We found five types of community health vulnerabilities: Type 1 group had the highest material vulnerabilities compared to Type 5. The typology was found to be significant in all the regression analysis on the prevalence of chronic diseases (hypertension and diabetes), self-rated health status, and quality of life. In the regions with high material vulnerabilities, the material vulnerability appeared the most effective to the health status of individual’s. In the other regions with less material vulnerabilities, the social capital and health behavior resources were found to be effective.
Conclusion
A comprehensive measure of vulnerability can be helpful to understand community health. Policy makers need to consider the level of material vulnerability when planning for a health promotion project.

Keyword

Community; Social determinants of health; Social capital; Health behavior; Health status