Understanding the Rapid Increase in Life Expectancy in South Korea

Objectives. We assessed life expectancy increases in the past several decades in South Korea by age and specific causes of death. Methods. We applied Arriaga's decomposition method to life table data (19702005) and mortality statistics (1983-2005) to estimate age- and cause-specific contributions to changes in life expectancy. Results. Reductions in infant mortality made the largest age-group contribution to the life expectancy increase. Reductions in cardiovascular diseases (particularly stroke and hypertensive diseases) contributed most to longer life expectancy between 1983 and 2005 (30% in males and 28% in females). Lower rates of stomach cancer, liver disease, tuberculosis, and external-cause mortality accounted for 30% of the male and 20% of the female increase in longevity. However, higher mortality from ischemic heart disease, lung and bronchial cancer, colorectal cancer, breast cancer, diabetes, and suicide offset gains by 10% in both genders. Conclusions. Rapid increases in life expectancy in South Korea were mostly achieved by reductions in infant mortality and in diseases related to infections and blood pressure. (Am J Public Health. 2010;100:896-903. doi:10.2105/AJPH.2009.160341)