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Study on "inequality in health" by socio-economic status

社会经济地位的“健康不平等”研究

基本信息

批准号：
14310105
负责人：
KONDO Katsunori
金额：
$ 4.1万
依托单位：
Nihon Fukushi University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2004
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14310105/
关键词：
Socioeconomic factor Inequality in health Social class Poverty Social epidemiology Prevention of functional decline Cohort stud Healthy aging 社会経済格差社会心理的因子健康不平等所得学歴縦断研究

项目摘要

The purposes of this research are to reveal "Inequality in health" in Japan and the path from socio-economic factors to health from both theoretical and empirical works.In the theoretical work, we hypothesized a compound path from socio-economic factors to health including not only biological factors or health behavioral factors but also psychosocial factors, such as sense of coherence, depression and social networks etc.In the empirical works, the following findings were obtained from the researches using four subject groups.The young-middle aged women (Japanese Panel Survey of Consumers) : "Inequality in health" was observed in the representative sample of Japanese women aged 29-39 years old (about 1200 persons). Marriage history and social network played significant role as a part of the path.The older people : 1) We conducted a cohort study those subjects were about 2700 people. We found that the inequality in health could not be explained only by the difference in health behaviors … More by socio-economic status. Lacking social support to others showed a significant odds ratio, which means it could be a risk factor of the loss of the healthy life expectancy. 2) In a cross sectional analysis of about 32,000 older persons, severe depressed people was observed as much as 6.9 times in maximum among the lowest socio-economic group compared with the highest group.A national representative sample (Japanese General Social Surveys, JGSS) : Subjects were about 4000 people. The self rated health showed a significant relationship with social capital index in regional level even after adjusting individual socio-economic factors.A comparison study between Japan-Korea older people : We investigated about 200 older people in Gimhae City in South Korea. We found a fewer older people are housebound in South Korea than those living in a Japanese town.These results suggest that "Inequality in health" exists widely also in Japan, and the extent of the gap is larger than that supposed in general. Secondarily, the path from socio-economic factors to health might be a compound process including bio-psycho-social factors. Thirdly, social factors affecting health could be divided into the individual level and the regional level. Less

本研究的目的是从理论和实证两方面揭示日本的“健康不平等”以及社会经济因素对健康的影响。在理论方面，我们假设社会经济因素对健康的影响是一条复合路径，其中不仅包括生物因素或健康行为因素，还包括心理社会因素，如凝聚感、抑郁和社交网络等。在实证方面，我们假设社会经济因素对健康的影响是一条复合路径。从使用四个受试者群体的研究中获得了以下结果：中年妇女（日本消费者小组调查）：在29-39岁的日本妇女的代表性样本（约1200人）中观察到“健康不平等”。婚姻史和社会关系网络在老年人的认知路径中起着重要作用。老年人：1）我们进行了一项队列研究，研究对象约为2700人。我们发现，健康不平等不能仅仅用健康行为的差异来解释 ...更多信息社会经济地位。缺乏对他人的社会支持显示出显著的优势比，这意味着它可能是健康预期寿命损失的危险因素。2)在对约32，000名老年人进行的横断面分析中，社会经济地位最低的群体中的严重抑郁症患者最多是社会经济地位最高的群体的6.9倍。全国代表性样本（日本综合社会调查，JGSS）：研究对象约为4，000人。在调整个体社会经济因素后，自测健康与社会资本指数在地区水平上仍存在显著相关。日韩老年人比较研究：以韩国金海市200名老年人为研究对象。我们发现，韩国的居家老人比日本城镇的居家老人少。这些结果表明，“健康不平等”在日本也普遍存在，而且差距的程度比一般认为的要大。其次，从社会经济因素到健康的路径可能是一个包括生物-心理-社会因素的复合过程。第三，影响健康的社会因素可分为个体水平和区域水平。少