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

计算了日本各城市的全因死亡率，并研究了死亡率与收入、教育、失业和生活条件等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有关，男性和75岁以下人口的关系分别比女性和总人口的关系更显著。1975 ~ 1995年死亡。健康期望值及其与社会经济因素的关系利用2000年都道府县寿命表和长期护理保险（LTd）的持证人数计算了各都道府县的健康期望值（HE）。计算的HE与社会指标，如人均收入，失业率，单身老人的家庭比例，离婚率。使用2000年城市生命表和（LTd）的数据估计了各市的HE。分析表明，城市HE和社会指标之间的显着关系。个人健康相关指标和社会经济因素之间的关系个人健康相关指标和社会经济因素之间的关系进行了检查。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。卫生政策的应用超额死亡被估计为死亡率地理差异的量度。并结合各县死亡率的历史数据，采用外推法和基准法相结合的方法，开发了一种定量健康指标的方法。

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.