ArticleScandinavian journal of public health2023
Socioeconomic inequalities in self-rated health in Japan, 32 European countries and the United States: an international comparative study.
Article in Scandinavian journal of public health, 2023. 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.
- Educational inequalities in site-specific cancer mortality: a Japanese census-linked study.Journal of epidemiology and community health · 2026Article
- Development of a comprehensive mortality database in Japan through data linkage of population census and vital statistics.Population health metrics · 2026Article
- SGLT2 inhibitors and mortality in older adults with diabetic kidney disease: A target trial emulation study.Diabetes, obesity & metabolism · 2026Article
- Validating the Korean versions of the flourish index and the secure flourish index: a comprehensive psychometric approach.Frontiers in psychology · 2026Article
- Changes over time in social inequality in adult self-rated health: the case of Norway 2002-2019.BMC public health · 2025Article
- Comparison of Management and Outcomes of Hip Fractures Among Low- and High-Income Patients in Six High-Income Countries.Journal of general internal medicine · 2025Article
- The Relationship Between Socioeconomic Status and Health Behaviors in Older Adults: A Narrative Review.Healthcare (Basel, Switzerland) · 2025Review
- Educational inequalities in all-cause and cause-specific mortality in Japan: national census-linked mortality data for 2010-15.International journal of epidemiology · 2024Article
- Self-Rated Health and Semen Quality in Men Undergoing Assisted Reproductive Technology.JAMA network open · 2024Article
- Wealth inequalities in physical and cognitive impairments across Japan and Europe: the role of health expenditure and infrastructure.International journal for equity in health · 2023Article
- Noncompliance with Hypertension Treatment and Related Factors among Kumamoto Earthquake Victims Who Experienced the COVID-19 Pandemic during Postearthquake Recovery Period.International journal of environmental research and public health · 2023Article
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Authors and funding
4 authors.
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Abstract
aimsJapan is known as a country with low self-rated health despite high life expectancy. We compared socioeconomic inequalities in self-rated health in Japan with those in 32 European countries and the US using nationally representative samples.
methodsWe analysed individual data from the Comprehensive Survey of Living Conditions (Japan), the European Union Statistics on Income and Living Conditions, and the Behavioral Risk Factor Surveillance System (US) in 2016. We used ordered logistic regression models with four ordinal categories of self-rated health as an outcome, and educational level or occupational class as independent variables, controlling for age.
resultsIn Japan, about half the population perceived their health as 'fair', which was much higher than in Europe (≈20-40%). The odds ratios of lower self-rated health among less educated men compared with more educated were 1.72 (95% confidence interval (CI) 1.61-1.85) in Japan, and ranged from 1.67 to 4.74 in Europe (pooled; 2.10 (95% CI 2.01-2.20)), and 6.65 (95% CI 6.22-7.12) in the US. The odds ratios of lower self-rated health among less educated women were 1.79 (95% CI 1.65-1.95) in Japan, and ranged from 1.89 to 5.30 in Europe (pooled; 2.43 (95% CI 2.33-2.54)), and 8.82 (95% CI 8.29-9.38) in the US. Socioeconomic inequalities were large when self-rated health was low for European countries, but Japan and the US did not follow the pattern.
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