Health Expectancy and QOL-related Comprehensive Health Indicators and the Relations

健康预期与生活质量相关的综合健康指标及其关系

• 批准号: 14570326
• 负责人: FUKUDA Yosiharu
• 金额: $ 1.66万
• 依托单位: Tokyo Medical and Dental University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2002
• 资助国家: 日本
• 起止时间: 2002 至 2003
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14570326/
• 关键词: Public Health; Health Expectancy; Social Epidemiology; Health Statistics; 介護保険

Variation of municipal mortality and its relation with social factorsAll cause mortality rates of municipalities across Japan were calculated, and the relation of mortality and socioeconomic indicators related to income, education, unemployment, and living conditions was examined. Higher mortality was related with lower socioeconomic condition, and the relation was more marked for males and the population aged under 75 than for females and the total population, respectively. The relation was deceased from 1975 to 1995.Health expectancy and the relation with socioeconomic factorsHealth expectancy (HE) by prefecture was calculated using the 2000 prefectural life tables and the number of the certificated persons in the long-term care insurance (LTd). The calculated HE was associated with the social indicators such as per capita income, unemployment rate, the percentage of households of a single elderly, and divorce rate. HE by municipality was estimated using 2000 municipal life table and the data of (LTd). The analysis demonstrated the significant relation between municipal HE and social indicators.The relation between individual health-related indicators and socioeconomic factorsThe relation between individual health-related indicators and socioeconomic factors was examined. The health-related indicators were significantly related to the social factors, and lower social factors were associated with poor health status.The applications to health policyThe excess deaths were estimated as a measure of geographical variation of mortality. And a method for -quantitative health targets was developed using a combination of an extrapolation method and a benchmark method with prefectural historical data of mortality.

城市死亡率的变化及其与社会因素的关系计算了日本各地城市的全因死亡率，并检查了死亡率与与收入、教育、失业和生活条件有关的社会经济指标的关系。较高的死亡率与较低的社会经济条件相关，男性和75岁以下人群的相关性比女性和总人口的相关性更明显。这段关系于1975年至1995年去世。预期健康状况及其与社会经济因素的关系使用2000年的州寿命表和长期护理保险持证人数计算了各县的预期健康状况。计算出的HE与人均收入、失业率、单身老人家庭比例、离婚率等社会指标相关。利用2000年城市生命表和（有限公司）的数据估算各城市的HE。分析表明，城市高等教育与社会指标之间存在显著的相关关系。个体健康相关指标与社会经济因素的关系检验个体健康相关指标与社会经济因素的关系。健康相关指标与社会因素显著相关，社会因素越低，健康状况越差。在卫生政策方面的应用估计了超额死亡人数，以衡量死亡率的地理差异。采用外推法和基准法相结合的方法，结合各县历史死亡率数据，建立了非定量健康指标方法。

项目成果

Fukuda Y, Nakamura K, Takano T.: "Increased Excess Deaths in Urban-Areas : Quantification of Geographical Variation in Mortality in Japan, 1973to1998"Health Policy.. (in press).

Fukuda Y、Nakamura K、Takano T.：“城市地区死亡人数增加：日本死亡率地理变化的量化，1973 年至 1998 年”卫生政策..（出版中）。

福田吉治: "都市別死亡率に関連する社会経済的諸要因の性差"日本衛生学雑誌. (印刷中). (2003)

Yoshiharu Fukuda：“与城市死亡率相关的社会经济因素的性别差异”，日本卫生杂志（2003 年出版）。

Fukuda Y, Nakamura K, Takano T.: "A combination of an extrapolation method and a benchmark method to develop quantitative health targets for Japan."Health Policy.. 61. 201-212 (2002)

Fukuda Y、Nakamura K、Takano T.：“结合外推法和基准法来制定日本的定量健康目标。”健康政策.. 61. 201-212 (2002)

福田吉治, 中村桂子, 高野健人: "1973年から1998年に観察された市区町村別死亡率と地域社会経済水準との関連性の変化に関する社会医学的考察"民族衛生. 69(Suppl). 112-113 (2003)

Yoshiharu Fukuda、Keiko Nakamura、Kento Takano：“从 1973 年至 1998 年观察到的各城市死亡率与地区社会经济水平之间关系变化的社会医学考量”《种族卫生》69（增刊）112-113。

Fukuda Y, Nakamura K, Takano T.: "Wide range of socio-economic factors associates with mortality among cities in Japan"Health Promotion International. (in press).

Fukuda Y、Nakamura K、Takano T.：“广泛的社会经济因素与日本城市的死亡率相关”健康促进国际。