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Systematic analysis of health level declined by area and individual deprivation

按地区和个人剥夺情况对健康水平下降的系统分析

基本信息

批准号：
16590497
负责人：
FUKUDA Yoshiharu
金额：
$ 1.73万
依托单位：
National Institute of Public Health (2006)Tokyo Medical and Dental University (2004-2005)
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2004
资助国家：
日本
起止时间：
2004 至 2006
项目状态：
已结题

项目摘要

1.Deterioration of health in relation with social disadvantages in residential areasUsing the prefectural and municipal databases, the relation between population health and area social indicators was examined. The areas with lower socioeconomic positions showed higher morality. The study demonstrated change of the relation between mortality and area socioeconomic indicators. Healthy life expectancy, which was estimated using the long-term care insurance data, was associated with socioeconomic indicators such as per capita income, unemployment rate, the rate of elderly living alone, divorce rate.2.Development of socioeconomic index for health inequalitiesBased on the reviews of socioeconomic indices in other countries, we developed the index suitable for the situation in Japan. The deprivation index was formulated by using indicators related to income, education, living environment, unemployment rate. The index was associated with higher mortality at the level of prefectures and municipalities.3.Interactive effects of individual and area socioeconomic factorsWe examined the relation between individual- and area-socioeconomic factors and health using nationally representative survey data. Current smoking was strongly associated with lower individual socioeconomic status, and the association varied according to sex- and age-group. Participation of cancer screening was associated with lower income and living in an urban area. Health risk behavior was accumulated in the population with lower socioeconomic position and living in an urban area.

1.居民健康恶化与社会劣势的关系利用地市级数据库，对人口健康与地区社会指标的关系进行了研究。社会经济地位较低的地区表现出较高的道德水平。这项研究表明死亡率与地区社会经济指标之间的关系发生了变化。使用长期护理保险数据估计的健康预期寿命与人均收入、失业率、独居率、离婚率等社会经济指标相关。2.制定健康不平等的社会经济指数在回顾其他国家社会经济指数的基础上，我们制定了适合日本情况的指数。采用与收入、受教育程度、生活环境、失业率相关的指标，编制贫困指数。3.个人和地区社会经济因素的交互作用我们利用具有全国代表性的调查数据，检验了个人和地区社会经济因素与健康的关系。当前吸烟与较低的个人社会经济地位密切相关，而且这种联系因性别和年龄组而异。参加癌症筛查与低收入和居住在城市地区有关。健康危险行为主要集中在社会经济地位较低、居住在城市的人群。