权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

UNHEALTHY SEQUENCE IN THE EASTERN TOKYO.

东京东部的不健康序列。

基本信息

批准号：
07457103
负责人：
TAKANO Takehito
金额：
$ 1.22万
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 (B)
财政年份：
1995
资助国家：
日本
起止时间：
1995 至 1996
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-07457103/
关键词：
inequity in health urbanization determinants of health healthindices living environment biological water quality homeless Geographic Information System (GIS)不健康の集積不安定居住

项目摘要

Inequity in health was studied in megacity Tokyo. Following indices were analyzed : age-adjusted death rate, life expectancy at birth, age-adjusted PMI (Proportional Mortality Ratio), age-adjusted death rates by causes -malignant neoplasms, ischemic heart disease, cerebrovascular disease-, standard deviation of death age, death rates by age group, infant mortality, rates of patients per 100,000 population, limited residential-zone as a percentage of urban planning area, limited residential-zone as a percentage of residential-zone area, woodland and farmland as a percentage of total land area, municipal financial condition, access to public transportation, access to wide road (more than 6 m), air pollution, percentages of people attending examinations of health care -basic health care examination, examination for stomach cancer, examination for lung cancer-, nuber of medical care facilities, crime, number of pachinko game hall, consumer price, annual taxable income per capita, age-adjusted educational level and unemployment rate. It was indicated that the eastern part of Tokyo -Chuo, Taito, Sumida, Koto, Arakawa, Adachi, Katsushika and Edogawa-, was significantly unhealthy in the most health indicators compared to the western part of Tokyo -Meguro, Setagaya, Nakano, Suginami, Nerima, Musashino, Mitaka, Fuchu, Chofu, Koganei, Kodaira, Kokubunji, Kunitachi, Tanashi, Hoya, Komae and Higashikurume-. Unhealthy sequence was addressed from several aspects : demography, disease pattern, level of health services, health resources, living environment, consumption, coping behavior, fragile living, substance abuse, bacterial environment and quality of river water. New measures including Geographic Information System (GIS), multiple general non-linear analysis (MGNA) model were also developed to evaluate health. It is concluded that the community health level is determined by the various factors mentioned above, which should be improved by health promotion activities.

在特大城市东京，研究人员对健康不平等进行了研究。分析了以下指标：年龄调整的死亡率、出生时预期寿命、年龄调整的PMI(比例死亡率)、按原因划分的年龄调整死亡率(恶性肿瘤、缺血性心脏病、脑血管疾病)、死亡年龄的标准差、按年龄组划分的死亡率、婴儿死亡率、每10万人口的患病率、有限居民区占城市规划面积的百分比、有限居民区占居民区面积的百分比、林地和农田占总土地面积的百分比、市政财政状况、公共交通、宽阔道路(6米以上)的通达性、空气污染、参加保健检查--基本保健检查、胃癌检查、肺癌检查--的人的百分比、医疗设施的数量、犯罪率、弹子游戏场馆的数量、消费价格、人均年应纳税收入、年龄调整后的教育水平和失业率。据指出，东京东部--中央、台户、住田、古本、荒川、Adachi、Katsushika和Edogawa--的大多数健康指标都比东京西部的Meguro、Setagaya、Nakano、Sugiami、Nerima、Musashino、Mitaka、Fuchu、Chofu、Koganei、Kodaira、Kokubunji、Kuitachi、Tanashi、Hoya、Komae和Higashikurume-要差得多。从人口学、疾病类型、卫生服务水平、卫生资源、生活环境、消费、应对行为、脆弱生活、药物滥用、细菌环境和河水水质等方面对不健康顺序进行了分析。还开发了包括地理信息系统(GIS)、多重一般非线性分析(MGNA)模型在内的新指标来评估健康状况。结论：社区健康水平是由多种因素决定的，应通过健康促进活动来提高社区健康水平。