Accumulation of health risk behaviours is associated with lower socioeconomic status and women's urban residence: a multilevel analysis in Japan

Fukuda, Yoshiharu; Nakamura, Keiko; Takano, Takehito

doi:10.1186/1471-2458-5-53

Cited by 145 publications

(147 citation statements)

References 47 publications

Supporting

Mentioning

139

Contrasting

Unclassified

Order By: Relevance

“…Although no research has been conducted on this topic in Japan, studies have pointed out a link between SES and smoking and excessive consumption of alcohol 41,42) . Our study identified a high risk for smoking among all precarious workers engaged in full-time jobs.…”

Section: Discussionmentioning

confidence: 99%

Precarious Employment and Health: Analysis of the Comprehensive National Survey in Japan

2012

View full text Add to dashboard Cite

Recent studies suggest that unstable employment contracts may affect the health of workers. Many Japanese workers working full time in ostensibly permanent positions actually operate within unstable and precarious employment conditions. We compared the health status of Japanese workers with precarious employment contracts with that of permanent workers using the 2007 Comprehensive Survey of Living Conditions of the People on Health and Welfare (n=205,994). We classified their employment status as 'permanent' vs. 'precarious' (part-time, dispatch, or contract/ non-regular) and compared their health conditions. Among both sexes, precarious workers were more likely than permanent workers to have poor self-rated health or more subjective symptoms, with more workers in full-time employment suffering from serious psychological distress (SPD) and more female workers who smoke. Using logistic regression, we identified a positive association between precarious employment and SPD and current smoking among workers engaged in fulltime employment after adjusting for age, marital status, and work-related conditions. This study demonstrates that precarious employment contracts are associated with poor self-rated health, psychological distress, and tobacco use, especially among people working full-time jobs. These results suggest that engagement in full-time work under unstable employment status impairs workers' health.

show abstract

Section: Discussionmentioning

confidence: 99%

Precarious Employment and Health: Analysis of the Comprehensive National Survey in Japan

2012

View full text Add to dashboard Cite

show abstract

“…These findings suggest that for asymptomatic disorders morbidity is higher among the lower income population, although these individuals may be reluctant to seek healthcare services, even when these disorders become increasingly severe and obvious, ultimately compelling them to receive treatment. It is possible that the lower incidence of healthcare checkups in young or lower income populations [10] lead to an underestimation of income inequalities, particularly in terms of asymptomatic diseases, such as hypertension, diabetes, and dyslipidemia, which are mainly detected by health checkups. Along with preventive measures for CVD, appropriate healthcare services, especially early detection and treatment, are required.…”

Section: Discussionmentioning

confidence: 99%

“…Similar to other countries, lower SES is associated with poor health and health risk behaviors [10][11][12]. 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.…”

Section: Introductionmentioning

confidence: 99%

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

Fukuda

Hiyoshi

2011

Environ Health Prev Med

Self Cite

View full text Add to dashboard Cite

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.

show abstract

“…Smoking status has been reported to be associated with various factors, for example, age [4][5][6], residential area [5][6][7], education level [4,8], marital status [4,6,7,9], income [6,7,10], occupation [5,6,11,12], employment status [7], other smokers in the household [7], household size [5], job strain [13], social capital [14], and mental health [15,16]. Moreover, it appears that smokers are more likely to engage in unhealthy behaviors.…”

Section: Introductionmentioning

confidence: 99%

Associations of smoking status with other lifestyle behaviors are modified by sex and occupational category among urban civil servants in Japan

Higashibata

Wakai

Okada

et al. 2016

Environ Health Prev Med

View full text Add to dashboard Cite

Objectives The aim of the present study was to examine the associations of current smoking with five other unhealthy lifestyle behaviors among urban civil servants in Japan according to sex and occupational category. Methods The study included 10,232 urban civil servants in Japan who presented for a health check-up in 2011. We analyzed data on anthropometric measurements and selfreported lifestyle factors. Results Current smokers had a higher BMI than never smokers in white-collar workers, but not in blue-collar workers of both sexes. There were strong associations of current smoking with irregular breakfasting regardless of sex and occupational category. In males, current smokers were less likely to take exercise than ex-smokers in both occupational categories. Conclusions The associations of current smoking with other unhealthy behaviors were modified by sex and occupational category. These results are useful for understanding the health risks among smokers according to sex and occupational category.

show abstract

Accumulation of health risk behaviours is associated with lower socioeconomic status and women's urban residence: a multilevel analysis in Japan

Cited by 145 publications

References 47 publications

Precarious Employment and Health: Analysis of the Comprehensive National Survey in Japan

Precarious Employment and Health: Analysis of the Comprehensive National Survey in Japan

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

Associations of smoking status with other lifestyle behaviors are modified by sex and occupational category among urban civil servants in Japan

Contact Info

Product

Resources

About