ArticleBMC public health2021
An analysis of health inequalities depending on educational level using nationally representative survey data in Japan, 2019.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 15 citations in OpenAlex.
- Absolute and relative socioeconomic inequalities in cancer screening participation among adults aged 40-74 years in South Korea: a repeated cross-sectional study.BMC public health · 2026Article
- Educational attainment and population density are associated with the number of physician home visits: an ecological study of Japan's 47 prefectures.Journal of rural medicine : JRM · 2026Article
- Health risk factors in different educational groups and their association to Barrett's esophagus.Wiener klinische Wochenschrift · 2026Article
- Trends in income-related concentration and inequality in health in Japan: evidence from population-based National surveys from 2001 to 2022.Population health metrics · 2025Article
- Occupational Disparities in Cancer Survival Among the Working Population in Japan: 10-Year Survival Analysis Using the Kanagawa Cancer Registry.Cancer medicine · 2025Observational
- Panel Data Analysis of Socioeconomic Factors and COVID-19's Impact on Drinking Habits: Evidence from a Japanese Survey.International journal of environmental research and public health · 2025Article
- Factors influencing parental COVID-19 vaccination willingness for children in Japan.Vaccine: X · 2024Article
- Mental Health Evaluation in Community Pharmacies-A Cross-Sectional Study.Pharmacy (Basel, Switzerland) · 2024Article
- Association of Regular Cervical Cancer Screening with Socioeconomic, COVID-19 Infection and Vaccine Status Among Japanese Population: Cohort Observational Study.International journal of general medicine · 2024Article
- Educational inequalities in self-rated health and their mediators in late adulthood: Comparison of China and Japan.PloS one · 2023Article
- The Integration of Traditional Medicine with Conventional Biomedicine: A Narrative Review of the Japanese Perspective.Journal of integrative and complementary medicineReview
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1 author at 1 institution in 1 country.
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Abstract
backgroundIn recent years, socioeconomic differences in health statuses and behaviors have not been investigated from the nationally representative survey data in Japan. In this study, we showed differences in representative health behaviors and statuses depending on educational level using a nationally representative survey data in Japan.
methodsAggregated (not individual level) data from the Comprehensive Survey of Living Conditions in 2019 were used to examine the association between educational level and outcome status of psychological distress (K6 scores > = 5), self-rated health, smoking, alcohol drinking, and cancer screening participation (stomach, lung, colorectal, breast, and uterine cancers). Data of 217,179 households in Japan were aggregated by the Ministry of Health, Labour, and Welfare in the survey, and the data of the estimated number of household members and persons corresponding to each response option for the questions in all of Japan were used. Five-year age groups from 20 to 24 to 80-84 years and over 84 years were analyzed, and the prevalence or participation rate by educational level were calculated. In addition, the age-standardized prevalence or participation rate according to educational level were also calculated by sex. Moreover, a Poisson regression model was applied for evaluating an association of educational level with the outcomes.
resultsAs a result, a clear gradient by educational level was observed in almost all the age groups for the prevalence of psychological distress, poor self-rated health, and smoking and participation rates in cancer screening, and high educational level were associated with better health-related behaviors and statuses. Conversely, drinking prevalence was shown to be higher rather in highly educated people. In addition, a statistically significant association of educational level with all the outcomes was observed.
conclusionIt was shown that disparities in health behaviors and statuses still persisted in recent years, and the findings suggested that further measures should be taken to tackle this disparity.
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