Determinants of changes in income-related health inequalities among working-age adults in Japan, 1986–2007: Time-trend study

Kachi, Yuko; Inoue, Mariko; Nishikitani, Mariko; Tsurugano, Shinobu; Yano, Eiji

doi:10.1016/j.socscimed.2012.11.042

Cited by 26 publications

(38 citation statements)

References 24 publications

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“…Further, as Kachi et al 7 noted, a protective social programme which could weaken or break the link between unemployment rate and suicide rate33 was not well developed in Japan,34 particularly for people of working age 35. Insufficiency in resources to buffer adverse effects in crisis might have contributed to the deterioration of health for lower socioeconomic groups.…”

Section: Discussionmentioning

confidence: 99%

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Inequalities in self-rated health in Japan 1986–2007 according to household income and a novel occupational classification: national sampling survey series

Hiyoshi

Fukuda

Shipley

et al. 2013

J Epidemiol Community Health

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Relative and absolute health inequalities for social class and income based on self-rated fair or poor health narrowed or remained stable between 1986 and 2007, despite the economic stagnation and adverse social changes. Overall population health across socioeconomic groups initially improved but then worsened. The positive finding regarding the health inequality trend seen in the Japanese context is informative for the wider international community during this period of economic uncertainty.

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Section: Discussionmentioning

confidence: 99%

“…In individual level data, a recent study reported a narrowing of relative inequalities in health for household income using a concentration index based on self-rated health between 1986 and 2007 7. To date, three studies have examined trends in health inequality in Japan using individual-level data 7–9.…”

Section: Introductionmentioning

confidence: 99%

Inequalities in self-rated health in Japan 1986–2007 according to household income and a novel occupational classification: national sampling survey series

Hiyoshi

Fukuda

Shipley

et al. 2013

J Epidemiol Community Health

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“…Furthermore, we were able to control for several potential confounding factors -education level, urbanization, marital status, smoking, leisure time physical activity, and BMI -which have previously been reported to influence SRH trends (Kachi et al 2013;Sacker et al 2011). …”

Section: Strengthsmentioning

confidence: 99%

“…Another methodological issue when studying SRH trends is to control for potential confounding factors (Ishizaki et al 2009;Mantzavinis et al 2005). SRH has been associated with several variables, such as gender (af Sillen et al 2005), age (Idler 1993), sociodemographic factors (Kachi et al 2013;Sacker et al 2011), and lifestyle factors (Hsu et al 2013;Sodergren et al 2008). …”

Section: Introductionmentioning

confidence: 99%

Longitudinal trends in good self-rated health: effects of age and birth cohort in a 25-year follow-up study in Sweden

Johansson

Midlöv

Sundquist

et al. 2015

Int J Public Health

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“…With some exceptions [12,18-23], an increase in health inequalities during crisis periods is observed, although it is not always evident for both sexes [24-26] or for all health or socioeconomic variables [11,14,15,25-27]. The increase of inequalities in mortality was clear in Russia during the Soviet crisis [16,28], and in Korea and Japan during the Asian crises [13,29,30].…”

Section: What Are the Consequences Of Crises On Health Inequalities?mentioning

confidence: 99%

The impact of economic crises on social inequalities in health: what do we know so far?

Bacigalupe

Escolar-Pujolar²

2014

Int J Equity Health

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Since 2008, Western countries are going through a deep economic crisis whose health impacts seem to be fundamentally counter-cyclical: when economic conditions worsen, so does health, and mortality tends to rise. While a growing number of studies have presented evidence on the effect of crises on the average population health, a largely neglected aspect of research is the impact of crises and the related political responses on social inequalities in health, even if the negative consequences of the crises are primarily borne by the most disadvantaged populations. This commentary will reflect on the results of the studies that have analyzed the effect of economic crises on social inequalities in health up to 2013. With some exceptions, the studies show an increase in health inequalities during crises, especially during the Southeast Asian and Japanese crises and the Soviet Union crisis, although it is not always evident for both sexes or all health or socioeconomic variables. In the Nordic countries during the nineties, a clear worsening of health equity did not occur. Results about the impacts of the current economic recession on health equity are still inconsistent. Some of the factors that could explain this variability in results are the role of welfare state policies, the diversity of time periods used in the analyses, the heterogeneity of socioeconomic and health variables considered, the changes in the socioeconomic profile of the groups under comparison in times of crises, and the type of measures used to analyze the magnitude of social inequalities in health. Social epidemiology should further collaborate with other disciplines to help produce more accurate and useful evidence about the relationship between crises and health equity.

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Determinants of changes in income-related health inequalities among working-age adults in Japan, 1986–2007: Time-trend study

Cited by 26 publications

References 24 publications

Inequalities in self-rated health in Japan 1986–2007 according to household income and a novel occupational classification: national sampling survey series

Inequalities in self-rated health in Japan 1986–2007 according to household income and a novel occupational classification: national sampling survey series

Longitudinal trends in good self-rated health: effects of age and birth cohort in a 25-year follow-up study in Sweden

The impact of economic crises on social inequalities in health: what do we know so far?

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