Socioeconomic inequalities in self-rated health in Japan, 32 European countries and the United States: an international comparative study.
Socioeconomic inequalities in self-rated health in Japan, 32 European countries and the United States: an international comparative study.
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DOI：
10.1177/14034948221092285
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发表时间：
2023-12
影响因子：
3.4
通讯作者：
Mackenbach, Johan P.
中科院分区：
文献类型：
--
作者：
Tanaka, Hirokazu;Nusselder, Wilma J.;Kobayashi, Yasuki;Mackenbach, Johan P.
尽管预期寿命很高，但日本被认为是一个自我健康水平较低的国家。我们使用具有全国代表性的样本，将日本与32个欧洲国家和美国的社会经济不平等程度进行了比较。我们分析了2016年生活条件综合调查(日本)、欧盟收入和生活条件统计数据以及行为风险因素监测系统(美国)的个人数据。我们使用有序Logistic回归模型，以四个有序类别的自测健康为结果，以教育程度或职业类别为自变量，控制年龄。在日本，大约一半的人认为自己的健康状况“一般”，这一比例远高于欧洲(≈为20%-40%)。在日本，受教育程度较低的男性与受教育程度较高的男性相比，自评健康状况较差的优势比为1.72(95%可信区间为1.61-1.85)，在欧洲为1.67-4.74(合并；2.10(95%可信区间为2.01-2.20))，在美国为6.65(95%可信区间为6.22-7.12)。在日本，受教育程度较低的女性自评健康的优势比为1.79(95%可信区间1.65-1.95)，在欧洲为1.89-5.30(合并；2.43(95%可信区间2.33-2.54))，在美国为8.82(95%可信区间8.29-9.38)。当欧洲国家自我评估的健康水平较低时，社会经济不平等程度很大，但日本和美国并没有遵循这种模式。日本在自评健康方面的社会经济梯度模式与欧洲国家相似，我们的研究结果显示，与西方国家相比，日本在自评健康方面的社会经济不平等程度较小。
Japan is known as a country with low self-rated health despite high life expectancy. We compared socioeconomic inequalities in self-rated health in Japan with those in 32 European countries and the US using nationally representative samples. We analysed individual data from the Comprehensive Survey of Living Conditions (Japan), the European Union Statistics on Income and Living Conditions, and the Behavioral Risk Factor Surveillance System (US) in 2016. We used ordered logistic regression models with four ordinal categories of self-rated health as an outcome, and educational level or occupational class as independent variables, controlling for age. In Japan, about half the population perceived their health as ‘fair’, which was much higher than in Europe (≈20–40%). The odds ratios of lower self-rated health among less educated men compared with more educated were 1.72 (95% confidence interval (CI) 1.61–1.85) in Japan, and ranged from 1.67 to 4.74 in Europe (pooled; 2.10 (95% CI 2.01–2.20)), and 6.65 (95% CI 6.22–7.12) in the US. The odds ratios of lower self-rated health among less educated women were 1.79 (95% CI 1.65–1.95) in Japan, and ranged from 1.89 to 5.30 in Europe (pooled; 2.43 (95% CI 2.33–2.54)), and 8.82 (95% CI 8.29–9.38) in the US. Socioeconomic inequalities were large when self-rated health was low for European countries, but Japan and the US did not follow the pattern. Japan has similar socioeconomic gradient patterns to European countries for self-rated health, and our findings revealed smaller socioeconomic inequalities in self-rated health in Japan compared with those in western countries.
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影响因子：
7.2
作者：
Miilunpalo, S;Vuori, I;Urponen, H
通讯作者：
Urponen, H
影响因子：
6.3
作者：
Hiyoshi, Ayako;Fukuda, Yoshiharu;Brunner, Eric J.
通讯作者：
Brunner, Eric J.
DOI：
10.1073/pnas.1800028115
发表时间：
2018-06-19
影响因子：
11.1
作者：
Mackenbach, Johan P.;Valverde, Jose Rubio;Nusselder, Wilma J.
通讯作者：
Nusselder, Wilma J.
影响因子：
168.9
作者：
Ikeda, Nayu;Saito, Eiko;Shibuya, Kenji
通讯作者：
Shibuya, Kenji
影响因子：
8.2
作者：
CHEN, C;LEE, SY;STEVENSON, HW
通讯作者：
STEVENSON, HW