UNHEALTHY SEQUENCE IN THE EASTERN TOKYO.

在大城市东京研究了保健方面的不平等现象。分析了以下指标：年龄调整死亡率，出生时预期寿命，年龄调整PMI（比例死亡率）、按病因-恶性肿瘤、缺血性心脏病、脑血管病-年龄调整死亡率、死亡年龄标准差、按年龄组分列的死亡率、婴儿死亡率、每100 000人中的病人比率、有限居住区占城市规划区的百分比，有限居住区占居住区面积的百分比，林地和农田占土地总面积的百分比，市政财政状况，公共交通的使用，宽阔的道路的使用（600万人以上）、空气污染、参加保健检查的人数百分比-基本保健检查、胃癌检查、肺癌检查-、医疗保健设施数量、犯罪、弹球游戏厅数量、消费价格、人均年应税收入、年龄调整教育水平和失业率。结果表明，东京东部地区-中央区、台东区、墨田区、江东区、荒川区、足立区、葛饰区和江户川区-与东京西部地区-目黑区、世田谷区、中野区、杉并区、练马区、武藏野区、三鹰区、府中区、乔夫布区、小金井区、小平区、国分寺区、国立区、田ashi区、Hoya区、科前区和东古梅区-相比，在大多数健康指标上都明显不健康。从人口学、疾病模式、卫生服务水平、卫生资源、生活环境、消费、应对行为、脆弱生活、物质滥用、细菌环境和河流水质等方面阐述了不健康序列。新的措施，包括地理信息系统（GIS），多重一般非线性分析（MGNA）模型也被开发来评估健康。结果表明，社区健康水平是由上述因素决定的，应通过健康促进活动提高社区健康水平。

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.