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Effects of socioeconomic indicators on coronary risk factors, self-rated health and psychological well-being among urban Japanese civil servants

Author

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  • Nishi, Nobuo
  • Makino, Kae
  • Fukuda, Hideki
  • Tatara, Kozo

Abstract

In Japan, the effects of socioeconomic indicators on coronary risk factors and subjective well-being in an urban population have not been compared. The subjects of this study were 1361 civil servants (968 men and 393 women, aged 35-64 years) working in an urban area of Japan. Screening examinations were conducted from April 1997 to March 1998, and a questionnaire survey was conducted in February 1998. The effects of two socioeconomic indicators, education level (junior high school, high school and university education) and employment grade (manual, low-level nonmanual and high-level nonmanual work), on behavioral and biological coronary risk factors, self-rated health and affect balance were investigated using multivariate logistic regression analyses. Smoking was found to be inversely associated with level of education; compared to university graduates, the odds ratios for subjects who had only graduated from high school and those for subjects who had only graduated from junior high school were 1.96 and 2.07 in men and 3.44 and 5.48 in women, respectively. As for alcohol drinking and physical inactivity, relationships were inconsistent in terms of direction by the two indicators. Among biological risk factors, diabetes was inversely associated with education level in men. Self-rated health, however, was inversely associated with employment grade both in men and women, and affect balance was inversely associated with employment grade in men. In summary, different effects of two socioeconomic indicators, education and employment grade, were seen in some coronary risk factors and subjective well-being in an urban Japanese population. Our findings should contribute to the elucidation of mechanisms of the socioeconomic gradients of risk factors and mortality from coronary heart disease in Japan.

Suggested Citation

  • Nishi, Nobuo & Makino, Kae & Fukuda, Hideki & Tatara, Kozo, 2004. "Effects of socioeconomic indicators on coronary risk factors, self-rated health and psychological well-being among urban Japanese civil servants," Social Science & Medicine, Elsevier, vol. 58(6), pages 1159-1170, March.
  • Handle: RePEc:eee:socmed:v:58:y:2004:i:6:p:1159-1170
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    Citations

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    Cited by:

    1. Peiyi Lu & Ying Liang, 2016. "Health-Related Quality of Life of Young Chinese Civil Servants Working in Local Government: Comparison of SF-12 and EQ5D," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 11(4), pages 1445-1464, December.
    2. Kagamimori, Sadanobu & Gaina, Alexandru & Nasermoaddeli, Ali, 2009. "Socioeconomic status and health in the Japanese population," Social Science & Medicine, Elsevier, vol. 68(12), pages 2152-2160, June.
    3. Hiyoshi, Ayako & Fukuda, Yoshiharu & Shipley, Martin J. & Bartley, Mel & Brunner, Eric J., 2013. "A new theory-based social classification in Japan and its validation using historically collected information," Social Science & Medicine, Elsevier, vol. 87(C), pages 84-92.
    4. Mitsuhiko Funakoshi & Yasushi Azami & Hisashi Matsumoto & Akemi Ikota & Koichi Ito & Hisashi Okimoto & Nobuaki Shimizu & Fumihiro Tsujimura & Hiroshi Fukuda & Chozi Miyagi & Sayaka Osawa & Ryo Osawa &, 2017. "Socioeconomic status and type 2 diabetes complications among young adult patients in Japan," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-14, April.
    5. Hirokawa, Kumi & Tsutsumi, Akizumi & Kayaba, Kazunori, 2009. "Occupation and plasma fibrinogen in Japanese male and female workers: The Jichi Medical School Cohort study," Social Science & Medicine, Elsevier, vol. 68(6), pages 1091-1097, March.
    6. Yuka Sumimoto & Masahiko Yanagita & Naomi Miyamatsu & Nagako Okuda & Nobuo Nishi & Yosikazu Nakamura & Koshi Nakamura & Naoko Miyagawa & Motohiko Miyachi & Aya Kadota & Takayoshi Ohkubo & Tomonori Oka, 2021. "Association between socioeconomic status and physical inactivity in a general Japanese population: NIPPON DATA2010," PLOS ONE, Public Library of Science, vol. 16(7), pages 1-13, July.
    7. Saijo, Yasuaki & Yoshioka, Eiji & Fukui, Tomonori & Kawaharada, Mariko & Kishi, Reiko, 2008. "Relationship of socioeconomic status to C-reactive protein and arterial stiffness in urban Japanese civil servants," Social Science & Medicine, Elsevier, vol. 67(6), pages 971-981, September.
    8. Narimasa Kumagai & Seiritsu Ogura, 2014. "Persistence of physical activity in middle age: a nonlinear dynamic panel approach," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(7), pages 717-735, September.

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