Perceived health as related to income, socio-economic status, lifestyle, and social support factors in a middle-aged Japanese.

Perceived health as related to income, socio-economic status, lifestyle, and social support factors in a middle-aged Japanese.
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DOI:
10.2188/jea.15.155
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发表时间:
2005-09
影响因子:
4.7
通讯作者:
Sakamaki T
Sakamaki T
中科院分区:
医学3区
文献类型:
--
作者:
Wang N;Iwasaki M;Otani T;Hayashi R;Miyazaki H;Xiao L;Sasazawa Y;Suzuki S;Koyama H;Sakamaki T

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背景技术背景:在日本,很少有研究探讨健康感知与社会经济地位,特别是收入,社会孤立和支持的关系。本研究的目的是澄清之间的关系感知健康,生活方式和社会经济地位,以及社会孤立和支持因素,在中年和老年人的日本。方法:受试者为9,650名年龄在47-77岁之间的参与者,他们在2000年完成了第二次基于人群的队列调查(Komo-Ise研究)中的自填问卷。问卷内容包括社会人口学和社会经济因素、社会孤立和支持、生活方式、慢性病史和自认为健康。自认为健康分为优秀或良好的健康和一般或差的健康。Logistic回归分析用于确定社会经济地位、社会特征和生活方式与自我报告的健康状况一般或较差相关的比值比。研究结果:我们发现,家庭收入,体育活动,睡眠,吸烟习惯和BMI与中年和老年日本男性和女性自我报告的健康状况良好或较差有很强的关联。男性受试者往往报告公平或较差的健康状况,家庭收入减少。对妇女的结果不同,社会孤立和社会支持低有一个更强的协会自我报告的公平或较差的健康比低家庭收入。结论:结果表明,日本中老年居民的感知健康与社会经济和社会特征相关。
BACKGROUND: Few studies have examined the association of perceived health with socio-economic status, especially income, and social isolation and support in Japan. The purpose of this study is to clarify the associations among perceived health, lifestyle, and socio-economic status, as well as social isolation and support factors, in middle-aged and elderly Japanese. METHODS: Subjects were 9,650 participants aged 47-77 years who completed a self-administered questionnaire in 2000 in the second survey of a population-based cohort (the Komo-Ise study). The questionnaire included items on sociodemographic and socio-economic factors, social isolation and support, lifestyle, past history of chronic disease and perceived health. Perceived health was dichotomized into excellent or good health and fair or poor health. A logistic regression analysis was used to determine the odds ratios of socio-economic status, social characteristics and lifestyle in relation to self-reported fair or poor health. RESULTS: We found that household income, physical activity, sleeping, smoking habit, and BMI had a strong association with self-reported fair or poor health in middle-aged and elderly Japanese men and women. Male subjects tended to report fair or poor health as household income decreased. The results for women differed in that social isolation and low social support had a stronger association for self-reported fair or poor health than low household income. CONCLUSIONS: The results indicated that perceived health was associated with socio-economic and social characteristics among middle-aged and elderly residents in Japan.
DOI: 10.1016/s0277-9536(03)00287-9
发表时间: 2004-03-01
影响因子: 5.4
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