| Titre : | Municipal socioeconomic status and mortality in Japan : sex and age differences, and trends in 1973-1998. (2004) |
| Auteurs : | Yoshiharu FUKUDA ; Keiko NAKAMURA ; Takehito TAKANO ; Graduate School of Tokyo Medical and Dental University. Division of Public Health. Health Promotion International Health. Bunkyo ku Tokyo. JPN |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 59, n° 12, 2004) |
| Pagination : | 2435-2445 |
| Langues: | Anglais |
| Mots-clés : | Facteur socioéconomique ; Mortalité ; Epidémiologie ; Japon ; Asie ; Sexe ; Age ; Tendance séculaire ; Etat santé |
| Résumé : | [BDSP. Notice produite par INIST-CNRS FUlqWR0x. Diffusion soumise à autorisation]. The purpose of this study was to examine the sex and age differences and the time trends in the association between municipal socioeconomic status (SES) and all-cause mortality across Japan from 1973 to 1998. Sex-specific mortality of municipalities (N=3319 in 1995) by age groups (total, under 75-year, and over 75-year populations) was linked to municipal SES indicators related to income, education, unemployment and living space, and two SES composite indices formulated by principle component analysis (Index 1 related to lower income and education, and Index 2 related to unemployment and overcrowding). The relation was assessed using mortality gradients by SES quintiles and Bayesian hierarchical Poisson regression. The results showed that a lower SES was related to higher mortality for all SES indicators and composite indices. The mortality gradient was steeper for the under 75-year population than the total and over 75-year populations, and the relation between mortality and income-and education-related indicators/index was stronger for males than for females. The time trend showed an increase in the relation for Index 2, while a decrease for Index 1. This study demonstrated that lower municipal SES had an adverse influence on population health, and the influence was marked for males and premature death. Although a substantial health disadvantage still remained in lower SES areas, the impact of SES factors on geographical health variation changed over time ; the association with mortality has weakened for income and education, while it has strengthened for unemployment and living space. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact