Relative Income Deprivation and All-Cause Mortality in Japan: Do Life Priorities Matter?
Relative Income Deprivation and All-Cause Mortality in Japan: Do Life Priorities Matter?
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日本的相对收入剥夺和全因死亡率：生活优先事项重要吗？
DOI：
10.1093/abm/kaaa010
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Kawachi,Ichiro
中科院分区：
文献类型：
--
作者：
Gero,Krisztina;Miyawaki,Atsushi;Kawachi,Ichiro
背景/目的相对剥夺(RD)被认为是通过向上社会比较所产生的心理社会压力来影响健康的。本研究假设，将社会投入和个人成长等价值观放在首位(而不是将工作放在首位)将预防向上社会比较的有害影响。方法分析了参加KOMO-Ise研究的9,533名受试者(4,475名男性和5,058名女性)的前瞻性数据，这些受试者在1993年回答了基线问卷，并在2000年进行了跟踪调查。使用Yitzhaki指数(YI)和收入等级(IR)的RD与死亡率之间的关系采用COX比例风险回归模型进行评估。在后续调查中，受试者还被问及他们在生活中优先考虑的事项：工作、社会参与或个人成长。结果，在后续调查期间(至2011年底)，共有1,168人死亡(761名男性和407名女性)。控制社会人口学因素，每增加一个YI标准差(SD)，死亡的危险比(HR)为1.22(95%可信区间=1.08-1.38)，每减少一个标准差(SD)，死亡风险比(HR)为1.18(95%CI=1.03-1.35)。生命优先顺序(LP)与死亡率在统计学上没有显著相关性。在女性中，Lp和YI之间的交互作用具有统计学意义。在完全调整的模型中，与重视社会参与/个人成长的女性相比，认为工作在生活中非常重要的女性的死亡率是女性的2.66倍(95%CI=1.23-5.77)。在男性中未发现LP和RD之间的交互作用。结论相对收入剥夺的增加与独立于绝对收入的全因死亡的高风险相关。关注社会参与/个人成长(而不是工作)似乎会让女性免受相对剥夺的有害影响。
Background/PurposeRelative deprivation (RD) is proposed to affect health through psychosocial stress stemming from upward social comparisons. This study hypothesized that prioritizing values, such as social engagement and personal growth (as opposed to prioritizing work), would inoculate against the toxic effects of upward social comparisons.MethodsProspective data of 9,533 subjects (4,475 men and 5,058 women) participating in the Komo-Ise study answering a baseline questionnaire in 1993 and a follow-up survey in 2000 were analyzed. Associations between RD—using Yitzhaki Index (YI) and Income Rank (IR)—and mortality were evaluated using Cox proportional-hazard regression models. At follow-up, people were also asked about what they prioritized in life: work, social engagement, or personal growth.Results1,168 deaths (761 men and 407 women) occurred during follow-up (to the end of 2011). Controlling for sociodemographic factors, the hazard ratio (HR) for mortality was 1.22 (95% confidence interval [CI] = 1.08–1.38) per a standard deviation (SD) increase in YI and 1.18 (95% CI = 1.03–1.35) per anSDdecrease in IR. Life priorities (LP) were not statistically significantly associated with mortality. In women, the interaction between LP and YI was statistically significant. In fully adjusted models, women who endorsed only work as very important in their lives had a 2.66 (95% CI = 1.23–5.77) times higherHRfor mortality perSDincrease in YI compared to women who valued social engagement/personal growth. An interaction between LP and RD was not found in men.ConclusionsIncreased relative income deprivation was associated with a higher risk of all-cause mortality independently of absolute income. Focusing on social engagement/personal growth (as opposed to work) appears to inoculate women against the toxic effects of relative deprivation.
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影响因子：
4.7
作者：
Wang N;Iwasaki M;Otani T;Hayashi R;Miyazaki H;Xiao L;Sasazawa Y;Suzuki S;Koyama H;Sakamaki T
通讯作者：
Sakamaki T
帕累托曲线及其在调查研究中开放式收入分布的效用
影响因子：
4.8
作者：
R. Parker;R. Fenwick
通讯作者：
R. Fenwick
日本女性：传统形象与不断变化的现实
影响因子：
6.1
作者：
岩男 寿美子
通讯作者：
岩男 寿美子
日本女性：传统形象与不断变化的现实。
DOI：
10.2307/2074841
发表时间：
1994
期刊：
Contemporary Sociology
影响因子：
--
作者：
M. Brinton;S. Iwao
通讯作者：
S. Iwao
DOI：
10.1093/geronb/gbq091
发表时间：
2011-07-01
影响因子：
6.2
作者：
Seeman, Teresa E.;Miller-Martinez, Dana M.;Karlamangla, Arun S.
通讯作者：
Karlamangla, Arun S.