Effects of socioeconomic indicators on coronary risk factors, self-rated health and psychological well-being among urban Japanese civil servants
Effects of socioeconomic indicators on coronary risk factors, self-rated health and psychological well-being among urban Japanese civil servants
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DOI：
10.1016/s0277-9536(03)00287-9
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发表时间：
2004-03-01
影响因子：
5.4
通讯作者：
Tatara, K
中科院分区：
文献类型：
--
作者：
Nishi, N;Makino, K;Tatara, K
在日本，还没有比较社会经济指标对城市人群冠心病危险因素和主观幸福感的影响。研究对象为在日本城市工作的1361名公务员(男968人，女393人，年龄35-)。在1997年4月至1998年3月期间进行了筛查检查，并在1998年2月进行了问卷调查。采用多因素Logistic回归分析，探讨受教育程度(初中、高中和大学文化程度)和就业级别(体力劳动、低水平非体力劳动和高水平非体力劳动)两项社会经济指标对行为和生物学冠心病危险因素、自评健康和情感平衡的影响。研究发现，吸烟与教育程度呈负相关；与大学毕业生相比，高中毕业生和初中毕业生的优势比男性分别为1.96和2.07，女性分别为3.44和5.48。至于饮酒和缺乏体力活动，这两个指标的关系方向是不一致的。在生物学风险因素中，男性的糖尿病与教育水平呈负相关。然而，在男性和女性中，自评健康与职业等级呈负相关，而在男性中，情感平衡与职业等级呈负相关。总而言之，在日本城市人群中，受教育程度和就业等级这两个社会经济指标对一些冠心病危险因素和主观幸福感的影响是不同的。我们的发现将有助于阐明日本冠心病危险因素和死亡率的社会经济梯度的机制。(C)2003爱思唯尔有限公司。保留所有权利。
In Japan, the effects of socioeconomic indicators on coronary risk factors and subjective well-being in an urban population have not been compared. The subjects of this study were 1361 civil servants (968 men and 393 women, aged 35-64 years) working in an urban area of Japan. Screening examinations were conducted from April 1997 to March 1998, and a questionnaire survey was conducted in February 1998. The effects of two socioeconomic indicators, education level (junior high school, high school and university education) and employment grade (manual, low-level nonmanual and high-level nonmanual work), on behavioral and biological coronary risk factors, self-rated health and affect balance were investigated using multivariate logistic regression analyses. Smoking was found to be inversely associated with level of education; compared to university graduates, the odds ratios for subjects who had only graduated from high school and those for subjects who had only graduated from junior high school were 1.96 and 2.07 in men and 3.44 and 5.48 in women, respectively. As for alcohol drinking and physical inactivity, relationships were inconsistent in terms of direction by the two indicators. Among biological risk factors, diabetes was inversely associated with education level in men. Self-rated health, however, was inversely associated with employment grade both in men and women, and affect balance was inversely associated with employment grade in men. In summary, different effects of two socioeconomic indicators, education and employment grade, were seen in some coronary risk factors and subjective well-being in an urban Japanese population. Our findings should contribute to the elucidation of mechanisms of the socioeconomic gradients of risk factors and mortality from coronary heart disease in Japan. (C) 2003 Elsevier Ltd. All rights reserved.