ArticleBMJ open2012
Social and geographic inequalities in premature adult mortality in Japan: a multilevel observational study from 1970 to 2005.
Article in BMJ open, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Changes in cause-specific mortality trends across occupations in working-age Japanese women from 1980 to 2015: a cross-sectional analysis.BMC women's health · 2022Article
- Neighbourhood Social Determinants of Health and Geographical Inequalities in Premature Mortality in Taiwan: A Spatiotemporal Approach.International journal of environmental research and public health · 2021Article
- The Association between Occupational Categories and Incidence of Cardiovascular Events: A Cohort Study in Iranian Male Population.The international journal of occupational and environmental medicine · 2020Article
- Association between Cardiovascular Mortality and Economic Development: A Spatio-Temporal Study for Prefectures in Japan.International journal of environmental research and public health · 2020Article
- A Serial Cross-Sectional Analysis of the Prevalence, Risk Factors and Geographic Variations of Reduced Visual Acuity in Primary and Secondary Students from 2000 to 2017 in Hong Kong.International journal of environmental research and public health · 2020Article
- Influence of Key Health Related Indicators on Adult Mortality: Result from UN Member Countries.Iranian journal of public health · 2018Article
- An analysis of factors related to disability-free life expectancy at 65 years of age across Japanese prefectures in 2010.European journal of ageing · 2018Article
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- Inequalities in mortality by socioeconomic factors and Roma ethnicity in the two biggest cities in Slovakia: a multilevel analysis.International journal for equity in health · 2015Article
- Spatial inequalities in life expectancy within postindustrial regions of Europe: a cross-sectional observational study.BMJ open · 2014Observational
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- Group involvement and self-rated health among the Japanese elderly: an examination of bonding and bridging social capital.BMC public health · 2013Article
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- Social and geographical inequalities in suicide in Japan from 1975 through 2005: a census-based longitudinal analysis.PloS one · 2013Article
- Long working hours and metabolic syndrome among Japanese men: a cross-sectional study.BMC public health · 2012Article
- Geographic inequalities in all-cause mortality in Japan: compositional or contextual?PloS one · 2012Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesTo examine trends in social and geographic inequalities in all-cause premature adult mortality in Japan.
designObservational study of the vital statistics and the census data.
settingJapan.
participantsEntire population aged 25 years or older and less than 65 years in 1970, 1975, 1980, 1985, 1990, 1995, 2000 and 2005. The total number of decedents was 984 022 and 532 223 in men and women, respectively.
main outcome measuresFor each sex, ORs and 95% CIs for mortality were estimated by using multilevel logistic regression models with 'cells' (cross-tabulated by age and occupation) at level 1, 8 years at level 2 and 47 prefectures at level 3. The prefecture-level variance was used as an estimate of geographic inequalities of mortality.
resultsAdjusting for age and time-trends, compared with production process and related workers, ORs ranged from 0.97 (95% CI 0.96 to 0.98) among administrative and managerial workers to 2.22 (95% CI 2.19 to 2.24) among service workers in men. By contrast, in women, the lowest odds for mortality was observed among production process and related workers (reference), while the highest OR was 12.22 (95% CI 11.40 to 13.10) among security workers. The degree of occupational inequality increased in both sexes. Higher occupational groups did not experience reductions in mortality throughout the period and was overtaken by lower occupational groups in the early 1990s, among men. Conditional on individual age and occupation, overall geographic inequalities of mortality were relatively small in both sexes; the ORs ranged from 0.87 (Okinawa) to 1.13 (Aomori) for men and from 0.84 (Kanagawa) to 1.11 (Kagoshima) for women, even though there is a suggestion of increasing inequalities across prefectures since 1995 in both sexes.
conclusionsThe present findings suggest that both social and geographic inequalities in all-cause mortality have increased in Japan during the last 3 decades.
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Registered trials
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