Relationships among Socioeconomic Factors and Self-rated Health in Japanese Adults: NIPPON DATA2010

Atsuhiko Ota, Hiroshi Yatsuya, Nobuo Nishi, Nagako Okuda, Takayoshi Ohkubo, Takehito Hayakawa, Aya Kadota, Akira Okayama, Katsuyuki Miura

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2 Citations (Scopus)

Abstract

BACKGROUND: The distributions of socioeconomic status (SES) factors have been changing in Japan. We examined the relationships among SES and self-rated health (SRH) in Japanese adults.

METHODS: We analyzed 1,178 men and 1,555 women. We showed the distribution of SRH by sex and age and examined cross-sectional relationships among educational attainment, marital/living statuses, working status, household income and expenditure, and fine SRH (defined as excellent, very good, or good). We adjusted for age, subjective symptoms, visiting doctors, monthly equivalent household expenditure (EHE), and living in their own house.

RESULTS: The age-standardized prevalence of fine SRH was 79% and 73% among men and women, respectively. Among men, graduating from high school (adjusted odds ratio [aOR] 1.53; 95% confidence interval [CI], 1.07-2.19, relative to graduating from elementary or junior high school) and university or junior college (aOR 1.74; 95% CI, 1.15-2.62) was associated with fine SRH. Among women, graduating from university or junior college was associated with fine SRH (aOR 1.65; 95% CI, 1.12-2.46). Neither marital/living status nor working status was associated with SRH after adjustments for age in either sex. Among women, high EHE and income were associated with fine SRH (the highest expenditure group: aOR 1.80; 95% CI, 1.22-2.65; the highest income group: aOR 2.15; 95% CI, 1.34-3.46, relative to the corresponding lowest group). These simple relationships were not observed for men.

CONCLUSIONS: High educational attainment was associated with fine SRH. Relationships among household income, EHE, and fine SRH differed by sex.

Original languageEnglish
Pages (from-to)S66-S72
JournalJournal of Epidemiology
Volume28
DOIs
Publication statusPublished - 01-01-2018

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Health Expenditures
Health
Odds Ratio
Confidence Intervals
Marital Status
Social Class
Japan

All Science Journal Classification (ASJC) codes

  • Epidemiology

Cite this

Ota, Atsuhiko ; Yatsuya, Hiroshi ; Nishi, Nobuo ; Okuda, Nagako ; Ohkubo, Takayoshi ; Hayakawa, Takehito ; Kadota, Aya ; Okayama, Akira ; Miura, Katsuyuki. / Relationships among Socioeconomic Factors and Self-rated Health in Japanese Adults : NIPPON DATA2010. In: Journal of Epidemiology. 2018 ; Vol. 28. pp. S66-S72.
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abstract = "BACKGROUND: The distributions of socioeconomic status (SES) factors have been changing in Japan. We examined the relationships among SES and self-rated health (SRH) in Japanese adults.METHODS: We analyzed 1,178 men and 1,555 women. We showed the distribution of SRH by sex and age and examined cross-sectional relationships among educational attainment, marital/living statuses, working status, household income and expenditure, and fine SRH (defined as excellent, very good, or good). We adjusted for age, subjective symptoms, visiting doctors, monthly equivalent household expenditure (EHE), and living in their own house.RESULTS: The age-standardized prevalence of fine SRH was 79{\%} and 73{\%} among men and women, respectively. Among men, graduating from high school (adjusted odds ratio [aOR] 1.53; 95{\%} confidence interval [CI], 1.07-2.19, relative to graduating from elementary or junior high school) and university or junior college (aOR 1.74; 95{\%} CI, 1.15-2.62) was associated with fine SRH. Among women, graduating from university or junior college was associated with fine SRH (aOR 1.65; 95{\%} CI, 1.12-2.46). Neither marital/living status nor working status was associated with SRH after adjustments for age in either sex. Among women, high EHE and income were associated with fine SRH (the highest expenditure group: aOR 1.80; 95{\%} CI, 1.22-2.65; the highest income group: aOR 2.15; 95{\%} CI, 1.34-3.46, relative to the corresponding lowest group). These simple relationships were not observed for men.CONCLUSIONS: High educational attainment was associated with fine SRH. Relationships among household income, EHE, and fine SRH differed by sex.",
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Relationships among Socioeconomic Factors and Self-rated Health in Japanese Adults : NIPPON DATA2010. / Ota, Atsuhiko; Yatsuya, Hiroshi; Nishi, Nobuo; Okuda, Nagako; Ohkubo, Takayoshi; Hayakawa, Takehito; Kadota, Aya; Okayama, Akira; Miura, Katsuyuki.

In: Journal of Epidemiology, Vol. 28, 01.01.2018, p. S66-S72.

Research output: Contribution to journalArticle

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AU - Ota, Atsuhiko

AU - Yatsuya, Hiroshi

AU - Nishi, Nobuo

AU - Okuda, Nagako

AU - Ohkubo, Takayoshi

AU - Hayakawa, Takehito

AU - Kadota, Aya

AU - Okayama, Akira

AU - Miura, Katsuyuki

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N2 - BACKGROUND: The distributions of socioeconomic status (SES) factors have been changing in Japan. We examined the relationships among SES and self-rated health (SRH) in Japanese adults.METHODS: We analyzed 1,178 men and 1,555 women. We showed the distribution of SRH by sex and age and examined cross-sectional relationships among educational attainment, marital/living statuses, working status, household income and expenditure, and fine SRH (defined as excellent, very good, or good). We adjusted for age, subjective symptoms, visiting doctors, monthly equivalent household expenditure (EHE), and living in their own house.RESULTS: The age-standardized prevalence of fine SRH was 79% and 73% among men and women, respectively. Among men, graduating from high school (adjusted odds ratio [aOR] 1.53; 95% confidence interval [CI], 1.07-2.19, relative to graduating from elementary or junior high school) and university or junior college (aOR 1.74; 95% CI, 1.15-2.62) was associated with fine SRH. Among women, graduating from university or junior college was associated with fine SRH (aOR 1.65; 95% CI, 1.12-2.46). Neither marital/living status nor working status was associated with SRH after adjustments for age in either sex. Among women, high EHE and income were associated with fine SRH (the highest expenditure group: aOR 1.80; 95% CI, 1.22-2.65; the highest income group: aOR 2.15; 95% CI, 1.34-3.46, relative to the corresponding lowest group). These simple relationships were not observed for men.CONCLUSIONS: High educational attainment was associated with fine SRH. Relationships among household income, EHE, and fine SRH differed by sex.

AB - BACKGROUND: The distributions of socioeconomic status (SES) factors have been changing in Japan. We examined the relationships among SES and self-rated health (SRH) in Japanese adults.METHODS: We analyzed 1,178 men and 1,555 women. We showed the distribution of SRH by sex and age and examined cross-sectional relationships among educational attainment, marital/living statuses, working status, household income and expenditure, and fine SRH (defined as excellent, very good, or good). We adjusted for age, subjective symptoms, visiting doctors, monthly equivalent household expenditure (EHE), and living in their own house.RESULTS: The age-standardized prevalence of fine SRH was 79% and 73% among men and women, respectively. Among men, graduating from high school (adjusted odds ratio [aOR] 1.53; 95% confidence interval [CI], 1.07-2.19, relative to graduating from elementary or junior high school) and university or junior college (aOR 1.74; 95% CI, 1.15-2.62) was associated with fine SRH. Among women, graduating from university or junior college was associated with fine SRH (aOR 1.65; 95% CI, 1.12-2.46). Neither marital/living status nor working status was associated with SRH after adjustments for age in either sex. Among women, high EHE and income were associated with fine SRH (the highest expenditure group: aOR 1.80; 95% CI, 1.22-2.65; the highest income group: aOR 2.15; 95% CI, 1.34-3.46, relative to the corresponding lowest group). These simple relationships were not observed for men.CONCLUSIONS: High educational attainment was associated with fine SRH. Relationships among household income, EHE, and fine SRH differed by sex.

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