Widening Socioeconomic Inequalities in Smoking in Japan, 2001–2016

Tanaka, Hirokazu; Mackenbach, Johan P.; Kobayashi, Yasuki

doi:10.2188/jea.je20200025

Cited by 37 publications

(42 citation statements)

References 27 publications

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“…Smoking prevalence is a factor that is associated with mortality due to many cancer types [ 24 ]. Smoking prevalence is strongly associated with SES in Japan, and SES differences in smoking prevalence increased during the analyzed periods [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…Actually, hypertension prevalence and control rate is known to correlate with individual SES in Japan [ 30 ]. In addition, the trend of smoking prevalence is also considered related to the difference among municipalities [ 28 ], and decreasing rate of smoking prevalence over the years is shown to be associated with individual SES in Japan [ 25 ]. On the other hand, the trends in SMRs of ischemic heart disease were different from the other cardiovascular diseases.…”

Section: Discussionmentioning

confidence: 99%

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Socioeconomic Disparities in All-Cause and Cause-Specific Mortality Rates among Municipalities in Japan, 1999–2019

Okui

2020

IJERPH

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Differences in all-cause and cause-specific mortality rates depending on municipal socioeconomic status (SES) in Japan have not been revealed over the last 20 years. This study exposes the difference in 1999 and 2019 using the Vital Statistics. All of the municipalities were grouped into five quintiles based on their SES, and standardized mortality ratio (SMR) of each municipal quintile compared with all of Japan was calculated for all-cause mortality and representative cause of deaths. As a result, although SMR for all-cause mortality for women tended to be lower in low SES quintiles in 1999, the reverse phenomenon was observed in 2019. Additionally, although SMR for all-cause of mortality for men was the lowest in the highest SES quintiles already in 1999, the difference in the SMR for all-cause mortality rates between the lowest and highest SES quintiles increased in 2019. The improvement of the SMR in the highest SES quintile and the deterioration in the lowest was also observed in representative types of cancer, heart disease, stroke, pneumonia, liver disease, and renal failure for men and women. Therefore, this study indicates a disparity in mortality depending on municipal SES enlarged in the last 20 years.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Socioeconomic Disparities in All-Cause and Cause-Specific Mortality Rates among Municipalities in Japan, 1999–2019

Okui

2020

IJERPH

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“…Therefore, perinatal mortality caused by maternal factors such as a low educational level or maternal complications may have decreased over the maternal cohorts, particularly in blue-collar workers. Smoking status is another predictor of perinatal mortality [ 26 ], and its prevalence changed across the cohorts [ 29 ]. In Japan, the prevalence of smoking among manual workers is higher than that of non-manual workers [ 29 ], and the prevalence of smoking in both types of workers has decreased over time.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the difference in perinatal mortality rate between white- and blue-collar workers in Japan, 1995–2015

Okui

2020

Epidemiol Health

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Objective: The current study aimed to analyze the differences in perinatal mortality rate between whiteand blue-collar workers Methods: Data from the "Report of Vital Statistics: Occupational and Industrial Aspects" in Japan covering 1995 to 2015 were used. Five-year maternal age groups from 15-19 to 45-49 years were analyzed according to work type, and perinatal mortality rate for each age group and age-standardized perinatal mortality rate according to maternal age were calculated in each analyzed year. Bayesian ageperiod-cohort analysis was used to estimate age, period, and cohort effects for perinatal mortality rate according to work type. Moreover, perinatal mortality rate ratios between types of workers were estimated for each age group, period, and cohort. Results: The estimated perinatal mortality rate ratios of blue-to white-collar workers were above 1 most of the time. Moreover, age effect for perinatal mortality rate among white-collar workers was the largest in the 15-19-year age group, whereas that among blue-collar workers was the largest in the 45-49-year age group. Furthermore, the estimated perinatal rate ratio between white-and blue-collar workers tended to increase with maternal age. The degree of decrease of the cohort effects on perinatal mortality rate was rather larger in blue-collar workers in the cohorts born between 1946-1950 and 1996-2000. Conclusion: The degree of the disparity particularly increased with maternal age, and middle-aged blue-collar workers need more prenatal care and preventive measures for perinatal mortality than white-collar workers.

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“…In addition to this background, many of the decontamination workers came from the Japanese construction industry, where the smoking rate is high (Ham et al, 2011). In recent years, it has been pointed out that the social disparity in smoking rates has been increasing in Japan (Tanaka et al, 2020). Additionally, the amount of alcohol consumed may increase as migrant workers move away from their families.…”

Section: Alcohol Drinking and Smokingmentioning

confidence: 99%

Review of health risks among decontamination workers after the Fukushima Daiichi Nuclear Power Plant Accident

Sawano

Ozaki²,

Tsubokura

2020

Radioprotection

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In the radiation industry, occupational health is a significantly important issue. As the workers belong to a wide range of socioeconomic classes, the management of the health of the workers, especially in a lower socioeconomic status, such as migrant workers, is essential. After the Fukushima Daiichi Nuclear Power Plant (FDNPP) accident, migrant decontamination workers were recruited to help clean up and mitigate the ionizing radiation in evacuation zone, in order to resume life. As this was the first attempt at such decontamination work after a nuclear accident, these workers were the first to experience these conditions. However, limited information is available on the health of the workers engaged in this work. This paper comprehensively reviews the existing health risks faced by the workers after the FDNPP accident to provide general health guidelines to mitigate the health risks of decontamination workers in future disasters. Following previous literature, the health risks were categorized by those associated with occupational hazards and those associated with the living environment. Not only a mitigation of the direct occupational hazards, such as radiation exposure, work-related infection and trauma during work, but also the management of lifestyle should be adequately supported for decontamination workers of future nuclear disasters.

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Widening Socioeconomic Inequalities in Smoking in Japan, 2001–2016

Cited by 37 publications

References 27 publications

Socioeconomic Disparities in All-Cause and Cause-Specific Mortality Rates among Municipalities in Japan, 1999–2019

Socioeconomic Disparities in All-Cause and Cause-Specific Mortality Rates among Municipalities in Japan, 1999–2019

Analysis of the difference in perinatal mortality rate between white- and blue-collar workers in Japan, 1995–2015

Review of health risks among decontamination workers after the Fukushima Daiichi Nuclear Power Plant Accident

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