ArticleBMJ open2017
Changes in mortality inequalities across occupations in Japan: a national register based study of absolute and relative measures, 1980-2010.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 43 citations in OpenAlex.
- Development of a comprehensive mortality database in Japan through data linkage of population census and vital statistics.Population health metrics · 2026Article
- Educational inequalities in all-cause and cause-specific mortality in Japan: national census-linked mortality data for 2010-15.International journal of epidemiology · 2024Article
- Inequalities in External-Cause Mortality in 2018 across Industries in Republic of Korea.Safety and health at work · 2022Article
- Trends and socioeconomic inequalities in self-rated health in Japan, 1986-2016.BMC public health · 2021Article
- Gastric cancer mortality rates by occupation and industry among male and female workers aged 25-64 years in Japan.Industrial health · 2020Article
- Manufacturing Industry Cancer Risk in Japan: A Multicenter Hospital-Based Case Control Study.Asian Pacific journal of cancer prevention : APJCP · 2020Article
- Mortality by occupation and industry among Japanese men in the 2015 fiscal year.Environmental health and preventive medicine · 2020Article
- The Association Between Education and Smoking Prevalence, Independent of Occupation: A Nationally Representative Survey in Japan.Journal of epidemiology · 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
- Analysis of the difference in the perinatal mortality rate between white-collar and blue-collar workers in Japan, 1995-2015.Epidemiology and health · 2020Article
- Risk of cancer and longest-held occupations in Japanese workers: A multicenter hospital-based case-control study.Cancer medicine · 2019Article
- All-cause and cause-specific mortality in Scotland 1981-2011 by age, sex and deprivation: a population-based study.European journal of public health · 2019Article
- Mortality inequalities by occupational class among men in Japan, South Korea and eight European countries: a national register-based study, 1990-2015.Journal of epidemiology and community health · 2019Article
- Occupational Class and Risk of Cardiovascular Disease Incidence in Japan: Nationwide, Multicenter, Hospital-Based Case-Control Study.Journal of the American Heart Association · 2019Article
- Suicide Mortality Patterns in Greek Work Force before and during the Economic Crisis.International journal of environmental research and public health · 2019Article
- Occupational class and male cancer incidence: Nationwide, multicenter, hospital-based case-control study in Japan.Cancer medicine · 2019Article
- Relationship of relative poverty and social relationship on mortality around retirement: a 10-year follow-up of the Komo-Ise cohort.Environmental health and preventive medicine · 2018Article
- Occupational inequalities in female cancer incidence in Japan: Hospital-based matched case-control study with occupational class.SSM - population health · 2018Article
- Occupational class and risk of renal cell cancer.Health science reports · 2018Article
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveChanges in mortality inequalities across socioeconomic groups have been a substantial public health concern worldwide. We investigated changes in absolute/relative mortality inequalities across occupations, and the contribution of different diseases to inequalities in tandem with the restructuring of the Japanese economy.
methodsUsing complete Japanese national death registries from 5 year intervals (1980-2010), all cause and cause specific age standardised mortality rates (ASMR per 100 000 people standardised using the Japanese standard population in 1985, aged 30-59 years) across 12 occupations were computed. Absolute and relative inequalities were measured in ASMR differences (RDs) and ASMR ratios (RRs) among occupations in comparison with manufacturing workers (reference). We also estimated the changing contribution of different diseases by calculating the differences in ASMR change between 1995 and 2010 for occupations and reference.
resultsAll cause ASMRs tended to decrease in both sexes over the three decades except for male managers (increased by 71% points, 1995-2010). RDs across occupations were reduced for both sexes (civil servants 233.5 to -1.9 for men; sales workers 63.3 to 4.5 for women) but RRs increased for some occupations (professional workers 1.38 to 1.70; service workers 2.35 to 3.73) for men and decreased for women from 1980 to 2010. Male relative inequalities widened among farmer, fishery and service workers, because the percentage declines were smaller in these occupations. Cerebrovascular disease and cancer were the main causes of the decrease in mortality inequalities among sexes but the incidence of suicide increased among men, thereby increasing sex related inequalities.
conclusionsAbsolute inequality trends in mortality across occupations decreased in both sexes, while relative inequality trends were heterogeneous in Japan. The main drivers of narrowing and widening mortality inequalities were cerebrovascular disease and suicide, respectively. Future public health efforts will benefit from eliminating residual inequalities in mortality by considering the contribution of the causes of death and socioeconomic status stratification.
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