ArticleInternational journal of behavioral medicine2014
Influence of municipal- and individual-level socioeconomic conditions on mortality in Japan.
Article in International journal of behavioral medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Educational inequalities in adult mortality: a systematic review and meta-analysis of the Asia Pacific region.BMJ open · 2022Pooled it
- A systematic review of evidence on employment transitions and weight change by gender in ageing populations.PloS one · 2022Pooled it
- Socioeconomic status and self-reported health among middle-aged Japanese men: results from a nationwide longitudinal study.BMJ open · 2015Trial
- Health Statuses of People in Poverty Receiving Public Assistance in Japan: A Scoping Review.JMA journal · 2024Article
- The association between the socioeconomic deprivation level and ischemic heart disease mortality in Japan: an analysis using municipality-specific data.Epidemiology and health · 2022Article
- Socioeconomic Disparities in All-Cause and Cause-Specific Mortality Rates among Municipalities in Japan, 1999-2019.International journal of environmental research and public health · 2020Article
- Income Related Inequality of Health Care Access in Japan: A Retrospective Cohort Study.PloS one · 2016Article
- Impact of neighborhood socioeconomic conditions on the risk of stroke in Japan.Journal of epidemiology · 2015Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe health effect of area socioeconomic conditions has been evident especially in Western countries; however, limited research has focused on the effect of municipal-level socioeconomic conditions, especially in Asia. PURPOSE: Multilevel research using data from the Japan Collaborative Cohort Study, a large cohort study followed from 1990 to 2006, was conducted to examine individual as well as municipal socioeconomic conditions on risk of death, adjusting for each other.
methodWe included 24,460 men and 32,649 women aged 40 to 65 years at baseline in 35 municipalities as our study population. Primary predictors were municipal socioeconomic conditions (proportion of college graduates, per capita income, unemployment rate, and proportion of households receiving public assistance) and individual socioeconomic conditions (education level and occupation).
resultsAmong men, the multilevel logistic estimate (standard errors) of proportion of college graduates and unemployment rate for mortality from cardiovascular disease were -0.399 (0.094) and -0.343 (0.122), respectively. Among women, the multilevel logistic estimate (standard errors) of proportion of college graduates and per capita annual income for mortality from injuries were -0.386 (0.171) and -1.069 (0.407). Individual education level and occupation were associated with all-cause mortality, in particular, mortality from cardiovascular disease or injuries. Interactions between individual education level and indicators of municipal socioeconomic conditions were observed for mortality from cancer and cardiovascular disease among men and mortality from injuries among women.
conclusionMunicipal and individual socioeconomic conditions were independently and interactively associated with premature death; this suggests that reducing social inequalities in health demands a focus on municipal conditions in addition to those of individuals.
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