Study on "inequality in health" by socio-economic status

社会经济地位的“健康不平等”研究

基本信息

批准号：
14310105
负责人：
KONDO Katsunori
金额：
$ 4.1万
依托单位：
Nihon Fukushi University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2004
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14310105/
关键词：
Socioeconomic factor Inequality in health Social class Poverty Social epidemiology Prevention of functional decline Cohort stud Healthy aging 社会経済格差社会心理的因子健康不平等所得学歴縦断研究

项目摘要

The purposes of this research are to reveal "Inequality in health" in Japan and the path from socio-economic factors to health from both theoretical and empirical works.In the theoretical work, we hypothesized a compound path from socio-economic factors to health including not only biological factors or health behavioral factors but also psychosocial factors, such as sense of coherence, depression and social networks etc.In the empirical works, the following findings were obtained from the researches using four subject groups.The young-middle aged women (Japanese Panel Survey of Consumers) : "Inequality in health" was observed in the representative sample of Japanese women aged 29-39 years old (about 1200 persons). Marriage history and social network played significant role as a part of the path.The older people : 1) We conducted a cohort study those subjects were about 2700 people. We found that the inequality in health could not be explained only by the difference in health behaviors … More by socio-economic status. Lacking social support to others showed a significant odds ratio, which means it could be a risk factor of the loss of the healthy life expectancy. 2) In a cross sectional analysis of about 32,000 older persons, severe depressed people was observed as much as 6.9 times in maximum among the lowest socio-economic group compared with the highest group.A national representative sample (Japanese General Social Surveys, JGSS) : Subjects were about 4000 people. The self rated health showed a significant relationship with social capital index in regional level even after adjusting individual socio-economic factors.A comparison study between Japan-Korea older people : We investigated about 200 older people in Gimhae City in South Korea. We found a fewer older people are housebound in South Korea than those living in a Japanese town.These results suggest that "Inequality in health" exists widely also in Japan, and the extent of the gap is larger than that supposed in general. Secondarily, the path from socio-economic factors to health might be a compound process including bio-psycho-social factors. Thirdly, social factors affecting health could be divided into the individual level and the regional level. Less

本研究的目的是从理论和实证工作中揭示日本的“健康不平等”以及从社会经济因素到健康的路径。在理论工作中，我们追求从社会经济因素到健康的复合路径，包括不仅包括生物因素或健康行为因素，还包括社会因素，例如一致性感、抑郁和社交网络等。在实证工作中，通过使用四个主题组的研究得出以下结果。年轻中年女性（日本消费者小组调查）：在 29-39 岁的日本女性代表性样本（约 1200 人）中观察到“健康不平等”，婚姻史和社交网络在这一路径中发挥了重要作用。老年人：1）我们进行了研究。一项对大约 2700 人进行的队列研究发现，健康不平等不能仅用健康行为的差异来解释……更多的是，缺乏对他人的社会支持显示出显着的优势比。可以2) 在对约 32,000 名老年人进行的横断面分析中，观察到社会经济地位最低的群体中患有严重抑郁症的人数最多是社会经济地位最高的群体的 6.9 倍。 .全国代表性样本（日本综合社会调查，JGSS）：受试者约为 4000 人，即使在调整个人社会经济因素后，自我评价的健康状况仍与地区层面的社会资本指数显着相关。日韩老年人的比较研究：我们对韩国金海市约200名老年人进行了调查，发现韩国的老年人比日本城镇的老年人要少。这些结果表明“健康不平等”。其次，从社会经济因素到健康的路径可能是一个包括生物-心理-社会因素在内的复合过程。第三，影响健康的社会因素。可以分为个人层面和地区层面较少。