Political ideology and health in Japan: a disaggregated analysis.
Political ideology and health in Japan: a disaggregated analysis.
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日本的政治意识形态和健康：分类分析。
DOI：
10.1136/jech.2009.097915
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发表时间：
2010
影响因子：
6.3
通讯作者：
Fujisawa,Yoshikazu
中科院分区：
文献类型：
--
作者：
Subramanian,SV;Hamano,Tsuyoshi;Perkins,JessicaM;Koyabu,Akio;Fujisawa,Yoshikazu
最近来自美国和欧洲的研究表明，一个人的政治意识形态和他们的健康状况之间存在联系，那些自称是保守派的人报告说他们的健康状况更好。这种联系的存在在日本进行了检验。方法对2000 - 2003年、2005年和2006年日本综合社会调查的个人数据进行分析。感兴趣的结果是自评健康状况不佳和吸烟状况。兴趣的自变量是报告的政治信仰，从“左”到“右”为5分。协变量包括年龄、性别、教育程度、收入、职业状况和调查期间的固定效应。对Logistic回归模型进行了估计。结果即使在调整了年龄、性别、社会经济地位和调查期间的固定效应后，政治意识形态（从左到右）与自评健康不良之间以及意识形态与吸烟状况之间仍存在负相关。与那些自认为“左派”的人相比，自认为“右派”的人报告健康状况不佳和吸烟的OR分别为0.86（95%可信区间0.74至0.99）和0.80（95%可信区间0.70至0.91）。结论政治意识形态造成的健康差异通常被解释为反映了社会经济差异。日本的研究结果证实了美国和欧洲之前的研究结果，即社会经济差异并不能解释政治意识形态造成的健康差异。政治意识形态可能是对个人健康有益的几种潜在价值和态度（例如，宗教信仰、个人责任和/或社区参与）的标志。
BackgroundRecent studies from the USA and Europe suggest an association between an individual's political ideology and their health status, with those claiming to be conservatives reporting better health. The presence of this association is examined in Japan.MethodsIndividual-level data from the 2000–3, 2005 and 2006 Japan General Social Survey were analysed. The outcomes of interest were self-rated poor health and smoking status. The independent variable of interest was reported political beliefs on a 5-point ‘left’-to-‘right’ scale. Covariates included age, sex, education, income, occupational status and fixed effects for survey periods. Logistic regression models were estimated.ResultsThere was an inverse association between political ideology (left to right) and self-rated poor health as well as between ideology and smoking status even after adjusting for age, sex, socioeconomic status and fixed effects for survey periods. Compared with those who identified as ‘left’, the OR for reporting poor health and smoking among those who identified as ‘right’ was 0.86 (95% CI 0.74 to 0.99) and 0.80 (95% CI 0.70 to 0.91), respectively.ConclusionsHealth differences by political ideology have typically been interpreted as reflecting socioeconomic differences. The results from Japan corroborate the previous findings from the USA and Europe that socioeconomic differences do not account for health differences by political ideologies. Political ideology is likely to be a marker of several latent values and attitudes (eg, religiosity, individual responsibility and/or community participation) that might be beneficial for health at the individual level.