ArticleThe Lancet regional health. Western Pacific2021
Geographical socioeconomic inequalities in healthy life expectancy in Japan, 2010-2014: An ecological study.
Article in The Lancet regional health. Western Pacific, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- The PREVENT Risk Equations and Cardiovascular Prevention in East Asia.Journal of atherosclerosis and thrombosis · 2026Review
- Regional Disparities in Domiciliary Dental-Care Utilization and Their Association with Pneumonia Mortality in Japan: An Ecological Study Using National Open Data.JMA journal · 2026Article
- Tooth Loss and Socioeconomic Inequalities in Disability and Mortality: A Large-scale Prospective Cohort Study in Japan.Journal of epidemiology · 2026Article
- Estimating healthy life years without activity limitations using medical claims data in Japan.International journal of epidemiology · 2026Article
- Development of a comprehensive mortality database in Japan through data linkage of population census and vital statistics.Population health metrics · 2026Article
- Association between rurality and mortality from major diseases in Japan: an ecological study.BMJ open · 2026Article
- Article
- Association of municipal rurality and area deprivation with cause-specific mortality in Japan: a nationwide ecological study.BMJ public health · 2026Article
- Association between hypertension prevalence and neighborhood characteristics in Japan using combined claims data and geographic information systems: a neighborhood correlation study from LIFE Study.Environmental health and preventive medicine · 2026Article
- Perceptions of "Healthy Life Expectancy" of Individuals With Diseases: An Online Survey in Japan.Health science reports · 2025Article
- Spatial spillover effects of area-level socioeconomic factors on life expectancy in Japan: an ecological study.International journal of health geographics · 2025Article
- Socioeconomic disparities in colorectal cancer oncologic emergencies: a nationwide multilevel analysis in Japan.International journal of clinical oncology · 2025Article
- Sociodemographic patterns of COVID-19 mortality: the 2020 Japanese census-linked mortality database.The Lancet regional health. Western Pacific · 2025Article
- (Not So) Lost in Translation: Considering the GA4GH Diversity in Datasets Policy in the Japanese Context.Asian bioethics review · 2025Article
- Article
- Life expectancy, healthy life expectancy, and inequalities in Hong Kong, 2007-2020.The Lancet regional health. Western Pacific · 2023Article
- Secular trends of life expectancy and disability-free life expectancy at age 65 and associated gender and area-level socioeconomic inequalities in Hong Kong: a serial cross-sectional study between 2007 and 2020.The Lancet regional health. Western Pacific · 2023Article
- Adverse childhood experiences and living in the socially deprived areas in adulthood: a cross-sectional study of the nationwide data in Japan.BMC public health · 2023Article
- Neighborhood Socioeconomic Characteristics Associated with the COVID-19 Incidence in Elementary School Children: An Ecological Study in Osaka City, Japan.Children (Basel, Switzerland) · 2023Article
- Article
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Authors and funding
8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundArea differences in life expectancy (LE) and healthy life expectancy (HLE) in large geographical units have been monitored around the world. Area characteristics may be based on culture, history, socioeconomic status and discrimination in smaller geographical units, so it is important to consider these when looking at health inequality. We aimed to evaluate LE, HLE, and non-healthy life expectancy (NHLE) in 1707 municipalities using Areal Deprivation Index (ADI) in Japan for the first time.
methodsWe calculated the observed LE, HLE, and NHLE using death, population, and Long-term care insurance data for 2010-2014 and applied the variance weighted least squares model to estimate LE, HLE, and NHLE by 100 percentiles using the standardized ADI.
findingsThe estimated LE, HLE, and NHLE became lower as the deprivation index worsened: the differences between the most and least deprived areas for HLE were 2·49 years for LE and 2·32 years for HLE in males; 1·22 years for LE and 0·93 years for HLE in females. The observed LE and HLE in the most deprived areas were much lower than other areas.
interpretationUsing ADI has enabled us to see the disparity within municipalities precisely. LE and HLE outlier for the 100th percentile might be linked to historical areal deprivation and marginalization. Precise monitoring of socioeconomic status-based health inequalities could help manage these inequalities by identifying the groups most in need of intervention.
fundingThe Ministry of Education, Science and Culture of Japan (a Grant-in-Aid for Scientific Research [A] No. 20H00040 and 18H04071).
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