A cross-sectional study of socioeconomic status and treatment interruption among Japanese workers during the COVID-19 pandemic

Fujimoto, Kenji; Ishimaru, Tomohiro; Tateishi, Seiichiro; Nagata, Tomohisa; Tsuji, Mayumi; Eguchi, Hisashi; Ogami, Akira; Matsuda, Shinya; Fujino, Yoshihisa

doi:10.1101/2021.02.22.21252190

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…Non-regular workers who are unable to work longer hours, such as through illness, face difficulties and are more affected by unemployment trends. It has been shown 20 that individuals with lower annual incomes are more likely to discontinue treatment under COVID-19; thus, both health and financial support are needed.…”

Section: Discussionmentioning

confidence: 99%

The socioeconomic factors that led to unemployment under COVID-19 pandemic among Japanese workers: a prospective cohort study

Kuroishi

Nagata

Hino³

et al. 2021

Preprint

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Background: This study examined the relationship between socioeconomic status (SES) and subsequent unemployment. Methods: This prospective cohort study was conducted using a self-administrated questionnaire in Japan. SES, personal characteristics, and occupation of recruited workers were surveyed at baseline (December 22-25, 2020); subsequent unemployment was examined at follow-up (February 18-19, 2021). We determined the odds ratios (ORs) of unemployment for SES and other variables using a multilevel logistic model. Results: Among all 19,941 participants, 2.3% reported experience of unemployment through negative reasons. Multivariate analysis showed the OR and 95% confidence interval for unemployment associated with age to be 0.66 (0.47-0.92) for 30-39 years, 0.36 (0.25-0.51) for 40-49, 0.36 (0.25-0.53) for 50-59, and 0.43 (0.27-0.67) for more than 60 compared with 20-29 years. The association with annual household income was 2.96 (1.94-4.50) for <2 million yen and 1.51 (1.03-2.22) for 2-4 million yen compared with >10 million yen. The association with marital status was 1.43 (1.04-1.98) for bereaved/divorced compared with married (working spouse). The association with occupation was 1.75 (1.35-2.29) for temporary or contract employees and 2.11 (1.04-4.30) for agriculture, forestry, or fishing compared with general employees. The association with job type was 1.69 (1.34-2.15) for mainly manual labor. Conclusion: We observed a relationship between SES and subsequent unemployment under COVID-19. It is necessary to provide broad, ongoing support in the form of both short-term assistance and long-term job training and health care.

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Section: Discussionmentioning

confidence: 99%

The socioeconomic factors that led to unemployment under COVID-19 pandemic among Japanese workers: a prospective cohort study

Kuroishi

Nagata

Hino³

et al. 2021

Preprint

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“…For the occupational aspect, socioeconomic status was examined for the interruption of ordinary medical treatment [18]. Out of 9510 cases, 11% experienced treatment interruptions.…”

Section: Abbreviationsmentioning

confidence: 99%

Several Effective Measures for Minus Excess Mortality of COVID-19 in Japan Including Mutual Interrelationships and Long-Term Care Facilities (LTCF)

Bando

2021

Asp Biomed Clin Case Rep

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The impact of COVID-19 can be shown by life expectancy, excess death and total years of life lost (YLL). United States showed life expectancy minus 1.67 years, excess deaths 375,235 and total YLL 7,362,555. The excess death of Japan has remained minus value for long, in which long-term care facilities (LTCF) may contribute. LTCF has characteristic points as i) mutual interrelationships between hospitals, medical societies and prefectural offices, ii) rapid communication channels for regulatory official authorities, iii) high degree of citizenship and cooperation of all Japanese people for daily life and iv) mild lockdown without any punishment with declaration.

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“…4 In a similar trend, adults undergoing treatment for chronic diseases were also presumed to avoid medical consultations for fear of contracting COVID-19. Although Japanese studies [5][6][7] have demonstrated an increase in treatment interruptions among adult patients during the COVID-19 pandemic, these studies were all based on questionnaires. Self-reported assessments of adherence to antihypertensive medications are generally inaccurate due to patients' tendencies to overestimate their adherence.…”

Section: Introductionmentioning

confidence: 99%

Treatment interruption in hypertensive patients during the COVID‐19 pandemic: An interrupted time series analysis using prescription data in Okayama, Japan

Nakamura,

Mitsuhashi,

Matsumoto

et al. 2024

J of Gen and Family Med

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BackgroundThe COVID‐19 pandemic has impacted healthcare behaviors, leading to fewer pediatric visits in Japan and potentially fewer visits by adult patients. However, existing Japanese studies on treatment interruptions have generally relied on questionnaire‐based methods. In this study, we assessed the impact of the pandemic on antihypertensive treatment interruption using real‐world prescription data.MethodsWe conducted an interrupted time series analysis using the National Health Insurance Database in Okayama Prefecture, Japan. Participants included individuals aged 40–69 years with at least one antihypertensive prescription between 2018 and 2020. Treatment interruption was defined as a 3‐month or longer gap in prescriptions after medication depletion. We used segmented Poisson regression with models unadjusted and adjusted for seasonality and over‐dispersion to assess monthly treatment interruptions before and after Japan's April 2020 emergency.ResultsDuring the study period, 23.0% of 55,431 participants experienced treatment interruptions. Cyclical fluctuations in interruptions were observed. The crude analysis indicated a 1.2‐fold increase in treatment interruptions following the pandemic; however, the adjusted models showed no significant changes. Even among higher‐risk groups, such as women, younger adults, and those with shorter prescriptions, no significant alterations were observed.ConclusionWe found no significant impact of the COVID‐19 pandemic on antihypertensive treatment interruption in Okayama Prefecture. The less severe outbreak in the area or increased use of telemedicine and extended prescriptions may have contributed to treatment continuity. Further research is needed using a more stable and comprehensive database, broader regional data, and detailed prescription records to validate and extend our findings.

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A cross-sectional study of socioeconomic status and treatment interruption among Japanese workers during the COVID-19 pandemic

Cited by 4 publications

References 22 publications

The socioeconomic factors that led to unemployment under COVID-19 pandemic among Japanese workers: a prospective cohort study

The socioeconomic factors that led to unemployment under COVID-19 pandemic among Japanese workers: a prospective cohort study

Several Effective Measures for Minus Excess Mortality of COVID-19 in Japan Including Mutual Interrelationships and Long-Term Care Facilities (LTCF)

Treatment interruption in hypertensive patients during the COVID‐19 pandemic: An interrupted time series analysis using prescription data in Okayama, Japan

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