Evidence map›Paper›PMID 31142611›Full record

ArticleJournal of epidemiology and community health2019

Mortality inequalities by occupational class among men in Japan, South Korea and eight European countries: a national register-based study, 1990-2015.

Hirokazu Tanaka, Wilma J Nusselder, Matthias Bopp, Henrik Brønnum-Hansen, Ramune Kalediene, Jung Su Lee, Mall Leinsalu, Pekka Martikainen, Gwenn Menvielle, Yasuki Kobayashi and 1 more

Abstract read
In one paragraph

Article in Journal of epidemiology and community health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed.

  1. Article
  2. Observational
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  7. Inequalities in Mortality in the Asia-Pacific: A Cross-National Comparison of Socioeconomic Gradients.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
    Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Mortality of Suicide and Cerebro-Cardiovascular Diseases by Occupation in Korea, 1997-2020.International journal of environmental research and public health · 2022
    Article
  13. Article
  14. Article
  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Hirokazu TanakaDepartment of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-3153-8802
Wilma J NusselderDepartment of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands.
Matthias BoppEpidemiology, Biostatistics and Prevention Institute, University of Zürich, Zürich, Switzerland.ORCID 0000-0003-0766-3723
Henrik Brønnum-HansenDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-3513-7245
Ramune KaledieneDepartment of Health Management, Lithuanian University of Health Sciences, Kaunas, Lithuania.ORCID 0000-0003-3434-8091
Jung Su LeeDepartment of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Mall LeinsaluStockholm Centre for Health and Social Change, Södetörn University, Huddinge, Sweden.ORCID 0000-0003-4453-4760
Pekka MartikainenPopulation Research Unit, Department of Social Reseach, University of Helsinki, Helsinki, Finland.ORCID 0000-0001-9374-1438
Gwenn MenvielleINSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Sorbonne Universités, Paris, France.ORCID 0000-0002-3261-6366
Yasuki KobayashiDepartment of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Johan P MackenbachDepartment of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands j.mackenbach@erasmusmc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe compared mortality inequalities by occupational class in Japan and South Korea with those in European countries, in order to determine whether patterns are similar.

methodsNational register-based data from Japan, South Korea and eight European countries (Finland, Denmark, England/Wales, France, Switzerland, Italy (Turin), Estonia, Lithuania) covering the period between 1990 and 2015 were collected and harmonised. We calculated age-standardised all-cause and cause-specific mortality among men aged 35-64 by occupational class and measured the magnitude of inequality with rate differences, rate ratios and the average inter-group difference.

resultsClear gradients in mortality were found in all European countries throughout the study period: manual workers had 1.6-2.5 times higher mortality than upper non-manual workers. However, in the most recent time-period, upper non-manual workers had higher mortality than manual workers in Japan and South Korea. This pattern emerged as a result of a rise in mortality among the upper non-manual group in Japan during the late 1990s, and in South Korea during the late 2000s, due to rising mortality from cancer and external causes (including suicide), in addition to strong mortality declines among lower non-manual and manual workers.

conclusionPatterns of mortality by occupational class are remarkably different between European countries and Japan and South Korea. The recently observed patterns in the latter two countries may be related to a larger impact on the higher occupational classes of the economic crisis of the late 1990s and the late 2000s, respectively, and show that a high socioeconomic position does not guarantee better health.

Indexed as

OccupationsAdultEuropeHumansJapanMaleMiddle AgedMortalityRegistriesRepublic of Koreacause of death/trendsepidemiologymiddle agedregistriessocioeconomic factors

Identifiers

PMID31142611
PMCPMC6678055

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.