A comparison of socioeconomic differences in physical functioning and perceived health among male and female employees in Britain, Finland and Japan

Martikainen, Pekka; Lahelma, Eero; Marmot, Michael; Sekine, Michikazu; Nishi, Nobuo; Kagamimori, Sadanobu

doi:10.1016/j.socscimed.2004.01.005

Cited by 91 publications

(98 citation statements)

References 18 publications

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“…As in studies conducted in other countries [25,26], several investigations of the Japanese population have shown that those individuals with lower SES, as assessed by income, educational level, and occupational class, have higher prevalences of disorders such as diabetes and dyslipidemia [14,27]. Compared with previous studies, we report more detailed information as well as some novel interesting findings on the relationships between income and disease prevalences in Japanese adults.…”

Section: Discussionsupporting

confidence: 50%

“…Fujino et al [13] compared mortalities between populations with lower and higher levels of education in a cohort study and demonstrated that mortalities from cancers and external causes were significantly higher among those with less education, while the risk of ischemic heart disease was marginally reduced in men with a lower educational level. Using a cross-sectional study design, Nishi et al [14] found gradients in prevalence according to educational level for diabetes among men and for hypercholesterolemia among women, but not for hypertension. However, findings on the relationships of mortalities and morbidities with SES in Japan are limited to only a few diseases.…”

Section: Introductionmentioning

confidence: 99%

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Association of income with symptoms, morbidities and healthcare usage among Japanese adults

Fukuda

Hiyoshi

2011

Environ Health Prev Med

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Objectives Socioeconomic inequalities in healthcare services are major public health and healthcare concerns. We have examined the association of income with symptoms, morbidities and healthcare usage in a national sample of the Japanese population. Methods For this study, data compiled on 21,929 men and 24,620 women from the Comprehensive Survey of the Living Conditions of People on Health and Welfare in 2007 were assessed. Among the survey respondents with symptoms, we compared the prevalences of symptoms and treatments and the number of respondents who received treatments for 16 groups of symptoms and disorders according to household income, from the highest to the lowest, using the relative index of inequalities (RII). The RIIs were computed by age groups [25-59 years (young group) and 60? years (senior group)]. Results People with lower incomes had higher prevalences of symptoms and treatments for most of the disorders examined. The RIIs of symptoms and treatments were 1.19 [95% confidence interval (CI) 1.09-1.31] and 1.04 (95% CI 0.93-1.16) for the young group and 1.69 (1.53-1.87) and 1.51 (1.36-1.67) for the senior group, respectively. In terms of treatment prevalence among those with symptoms, the RII was not significantly lower than 1.0 except for a few disorders in the young group. ConclusionsOur results indicate that income inequalities can be related to the prevalences of various symptoms and morbidities in our Japanese sample population and that these inequalities were greater in the senior group than in the young group. Our results also suggest that lower income is not a substantial barrier to the use of healthcare services by older Japanese individuals, while it is related to lower healthcare usage by individuals of working age.

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Section: Discussionsupporting

confidence: 50%

Section: Introductionmentioning

confidence: 99%

Association of income with symptoms, morbidities and healthcare usage among Japanese adults

Fukuda

Hiyoshi

2011

Environ Health Prev Med

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“…Owing to these cultural variations and differences in the availability of health care resources, it becomes essential to establish ways of addressing how preferred outcomes vary across people from different part of the world. [30][31][32] The features resource trade-off game was designed to show how groups of individuals sharing some common problems vary with regard to feelings about the relative consequences of different types of functional loss and recovery. The technique is an approach to utility measurement and consensus building.…”

Section: Discussionmentioning

confidence: 99%

Cross-cultural differences in preference for recovery of mobility among spinal cord injury rehabilitation professionals

et al. 2005

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Study design: Direct observation of a constrained consensus-building process in three culturally independent five-person panels of rehabilitation professionals from the US, Italy and Canada. Objectives: To illustrate cultural differences in belief among rehabilitation professionals about the relative importance of alternative functional goals during spinal cord injury (SCI) rehabilitation. Setting: Spinal Cord Injury Units in Philadelphia-USA, Rome-Italy and Vancouver-Canada. Methods: Each of the three panels came to independent consensus about recovery priorities in SCI utilizing the features resource trade-off game. The procedure involves trading imagined levels of independence (resources) across different functional items (features) assuming different stages of recovery. Results: Sphincter management was of primary importance to all three groups. The Italian and Canadian rehabilitation professionals, however, showed preference for walking over wheelchair mobility at lower stages of assumed recovery, whereas the US professionals set wheelchair independence at a higher priority than walking. Conclusions: These preliminary results suggest cross-cultural recovery priority differences among SCI rehabilitation professionals. These dissimilarities in preference may reflect disparities in values, cultural expectations and health care policies.

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“…Fat and salt intake are important contributors to cardiovascular disease, but individuals with lower household expenditures were not found to have an unhealthy fat or salt intake. This finding might relate to the moderate association between socioeconomic status and cardiovascular disease and risk in Japan compared to that in Western countries (11)(12)(13)(14).…”

Section: Discussionmentioning

confidence: 91%

“…However, the socioeconomic differences were moderate compared with those in other countries, and the association between socioeconomic status and major diseases and risks was not entirely consistent (10)(11)(12)(13)(14). In particular, there are limited findings relating to socioeconomic differences in dietary intake by the Japanese population.…”

Section: Introductionmentioning

confidence: 88%

High quality nutrient intake is associated with higher household expenditures by Japanese adults

Fukuda

Hiyoshi

2012

Biosci Trends

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A comparison of socioeconomic differences in physical functioning and perceived health among male and female employees in Britain, Finland and Japan

Cited by 91 publications

References 18 publications

Association of income with symptoms, morbidities and healthcare usage among Japanese adults

Association of income with symptoms, morbidities and healthcare usage among Japanese adults

Cross-cultural differences in preference for recovery of mobility among spinal cord injury rehabilitation professionals

High quality nutrient intake is associated with higher household expenditures by Japanese adults

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