Socioeconomic Indicators and Cardiovascular Disease Incidence Among Japanese Community Residents: The Jichi Medical School Cohort Study
Background There has been little research in inequalities in risk of cardiovascular disease incidence by social class in Asia. Purpose The purpose of this study was to examine the association between socioeconomic indicators and risk of stroke and coronary heart disease in Japan. Method Data from th...
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| Veröffentlicht in: | International journal of behavioral medicine 2010-03, Vol.17 (1), p.58-66 |
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| creator | Honjo, Kaori Tsutsumi, Akizumi Kayaba, Kazunori |
| description | Background
There has been little research in inequalities in risk of cardiovascular disease incidence by social class in Asia.
Purpose
The purpose of this study was to examine the association between socioeconomic indicators and risk of stroke and coronary heart disease in Japan.
Method
Data from the Jichi Medical School Study, a population-based prospective cohort study of approximately 11,000 Japanese men and women, were used. The average follow-up period was 11.7 years. Age- and area-adjusted hazard ratios with 95% confidence intervals (CIs) for education level/occupation were calculated using Cox proportional hazard regression analysis.
Results
Compared to those who completed education at age 14 or younger, the age and area-adjusted hazard ratios of intraparenchymal hemorrhage incidence for men who completed education at age 15–17 and at age 18 or older were 0.42 (95% CI, 0.21–0.84) and 0.34 (95% CI, 0.14–0.84), respectively. The age- and area-adjusted hazard ratios of intraparenchymal hemorrhage and subarachnoid hemorrhage incidence for female white-collar workers compared to female blue-collar workers were 0.28 (95% CI, 0.08–0.98) and 3.23 (95% CI, 1.29, 8.01), respectively. No associations were found between education level and risk of coronary heart disease among both men and women.
Conclusion
These results suggest the pattern of social inequalities in health in Japan might be different from that in Western countries. |
| doi_str_mv | 10.1007/s12529-009-9051-7 |
| format | Article |
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There has been little research in inequalities in risk of cardiovascular disease incidence by social class in Asia.
Purpose
The purpose of this study was to examine the association between socioeconomic indicators and risk of stroke and coronary heart disease in Japan.
Method
Data from the Jichi Medical School Study, a population-based prospective cohort study of approximately 11,000 Japanese men and women, were used. The average follow-up period was 11.7 years. Age- and area-adjusted hazard ratios with 95% confidence intervals (CIs) for education level/occupation were calculated using Cox proportional hazard regression analysis.
Results
Compared to those who completed education at age 14 or younger, the age and area-adjusted hazard ratios of intraparenchymal hemorrhage incidence for men who completed education at age 15–17 and at age 18 or older were 0.42 (95% CI, 0.21–0.84) and 0.34 (95% CI, 0.14–0.84), respectively. The age- and area-adjusted hazard ratios of intraparenchymal hemorrhage and subarachnoid hemorrhage incidence for female white-collar workers compared to female blue-collar workers were 0.28 (95% CI, 0.08–0.98) and 3.23 (95% CI, 1.29, 8.01), respectively. No associations were found between education level and risk of coronary heart disease among both men and women.
Conclusion
These results suggest the pattern of social inequalities in health in Japan might be different from that in Western countries.</description><identifier>ISSN: 1070-5503</identifier><identifier>EISSN: 1532-7558</identifier><identifier>DOI: 10.1007/s12529-009-9051-7</identifier><identifier>PMID: 19554455</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adult ; Aged ; Asian people ; Cardiovascular disease ; Cardiovascular Diseases - epidemiology ; Cohort Studies ; Coronary Disease - epidemiology ; Education - statistics & numerical data ; Educational Status ; Family Medicine ; Female ; General Practice ; Health hazards ; Health Psychology ; Humans ; Inequality ; Intracranial Hemorrhages - epidemiology ; Japan - epidemiology ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Proportional Hazards Models ; Prospective Studies ; Regression analysis ; Risk Factors ; Sex Factors ; Socioeconomic Factors ; Stroke - epidemiology</subject><ispartof>International journal of behavioral medicine, 2010-03, Vol.17 (1), p.58-66</ispartof><rights>International Society of Behavioral Medicine 2009</rights><rights>Copyright Springer Science & Business Media Mar 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-2b6356714a473a8565ec77e35a605d055abbc108b796376fa2bd21a317f35fae3</citedby><cites>FETCH-LOGICAL-c436t-2b6356714a473a8565ec77e35a605d055abbc108b796376fa2bd21a317f35fae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12529-009-9051-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12529-009-9051-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19554455$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Honjo, Kaori</creatorcontrib><creatorcontrib>Tsutsumi, Akizumi</creatorcontrib><creatorcontrib>Kayaba, Kazunori</creatorcontrib><creatorcontrib>Jichi Medical School Cohort Study Group</creatorcontrib><creatorcontrib>The Jichi Medical School Cohort Study Group</creatorcontrib><title>Socioeconomic Indicators and Cardiovascular Disease Incidence Among Japanese Community Residents: The Jichi Medical School Cohort Study</title><title>International journal of behavioral medicine</title><addtitle>Int.J. Behav. Med</addtitle><addtitle>Int J Behav Med</addtitle><description>Background
There has been little research in inequalities in risk of cardiovascular disease incidence by social class in Asia.
Purpose
The purpose of this study was to examine the association between socioeconomic indicators and risk of stroke and coronary heart disease in Japan.
Method
Data from the Jichi Medical School Study, a population-based prospective cohort study of approximately 11,000 Japanese men and women, were used. The average follow-up period was 11.7 years. Age- and area-adjusted hazard ratios with 95% confidence intervals (CIs) for education level/occupation were calculated using Cox proportional hazard regression analysis.
Results
Compared to those who completed education at age 14 or younger, the age and area-adjusted hazard ratios of intraparenchymal hemorrhage incidence for men who completed education at age 15–17 and at age 18 or older were 0.42 (95% CI, 0.21–0.84) and 0.34 (95% CI, 0.14–0.84), respectively. The age- and area-adjusted hazard ratios of intraparenchymal hemorrhage and subarachnoid hemorrhage incidence for female white-collar workers compared to female blue-collar workers were 0.28 (95% CI, 0.08–0.98) and 3.23 (95% CI, 1.29, 8.01), respectively. No associations were found between education level and risk of coronary heart disease among both men and women.
Conclusion
These results suggest the pattern of social inequalities in health in Japan might be different from that in Western countries.</description><subject>Adult</subject><subject>Aged</subject><subject>Asian people</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cohort Studies</subject><subject>Coronary Disease - epidemiology</subject><subject>Education - statistics & numerical data</subject><subject>Educational Status</subject><subject>Family Medicine</subject><subject>Female</subject><subject>General Practice</subject><subject>Health hazards</subject><subject>Health Psychology</subject><subject>Humans</subject><subject>Inequality</subject><subject>Intracranial Hemorrhages - epidemiology</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>Regression analysis</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Socioeconomic Factors</subject><subject>Stroke - epidemiology</subject><issn>1070-5503</issn><issn>1532-7558</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kE1r3DAQQEVpaT6aH9BLEb07HUkea91b2PQjIaHQTc5iLMtZhbW0lezC_oL87WrZhZx6kmDevIHH2EcBlwJAf8lComwrgLZqAUWl37BTgUpWGnHxtvxBQ4UI6oSd5fwMAKg1vGcnokWsa8RT9rKK1kdnY4ijt_wm9N7SFFPmFHq-pNT7-JeynTeU-LXPjrIrlPW9C9bxqzGGJ35LWwquDJZxHOfgpx3_7fIemfJX_rB2_Nbbtef3bm_f8JVdx7gp9Dqmia-mud99YO8G2mR3cXzP2eP3bw_Ln9Xdrx83y6u7ytaqmSrZNQobLWqqtaIFNuis1k4hNYA9IFLXWQGLTreN0s1AsuulICX0oHAgp87Z54N3m-Kf2eXJPMc5hXLSSLmAYldNgcQBsinmnNxgtsmPlHZGgNmXN4fyppQ3-_JGl51PR_Hcja5_3TimLoA8ALmMwpNLr5f_b_0HsSKPVg</recordid><startdate>20100301</startdate><enddate>20100301</enddate><creator>Honjo, Kaori</creator><creator>Tsutsumi, Akizumi</creator><creator>Kayaba, Kazunori</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20100301</creationdate><title>Socioeconomic Indicators and Cardiovascular Disease Incidence Among Japanese Community Residents: The Jichi Medical School Cohort Study</title><author>Honjo, Kaori ; Tsutsumi, Akizumi ; Kayaba, Kazunori</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-2b6356714a473a8565ec77e35a605d055abbc108b796376fa2bd21a317f35fae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Asian people</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>Cohort Studies</topic><topic>Coronary Disease - epidemiology</topic><topic>Education - statistics & numerical data</topic><topic>Educational Status</topic><topic>Family Medicine</topic><topic>Female</topic><topic>General Practice</topic><topic>Health hazards</topic><topic>Health Psychology</topic><topic>Humans</topic><topic>Inequality</topic><topic>Intracranial Hemorrhages - epidemiology</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Proportional Hazards Models</topic><topic>Prospective Studies</topic><topic>Regression analysis</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Socioeconomic Factors</topic><topic>Stroke - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Honjo, Kaori</creatorcontrib><creatorcontrib>Tsutsumi, Akizumi</creatorcontrib><creatorcontrib>Kayaba, Kazunori</creatorcontrib><creatorcontrib>Jichi Medical School Cohort Study Group</creatorcontrib><creatorcontrib>The Jichi Medical School Cohort Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology Journals</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>International journal of behavioral medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Honjo, Kaori</au><au>Tsutsumi, Akizumi</au><au>Kayaba, Kazunori</au><aucorp>Jichi Medical School Cohort Study Group</aucorp><aucorp>The Jichi Medical School Cohort Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Socioeconomic Indicators and Cardiovascular Disease Incidence Among Japanese Community Residents: The Jichi Medical School Cohort Study</atitle><jtitle>International journal of behavioral medicine</jtitle><stitle>Int.J. Behav. Med</stitle><addtitle>Int J Behav Med</addtitle><date>2010-03-01</date><risdate>2010</risdate><volume>17</volume><issue>1</issue><spage>58</spage><epage>66</epage><pages>58-66</pages><issn>1070-5503</issn><eissn>1532-7558</eissn><abstract>Background
There has been little research in inequalities in risk of cardiovascular disease incidence by social class in Asia.
Purpose
The purpose of this study was to examine the association between socioeconomic indicators and risk of stroke and coronary heart disease in Japan.
Method
Data from the Jichi Medical School Study, a population-based prospective cohort study of approximately 11,000 Japanese men and women, were used. The average follow-up period was 11.7 years. Age- and area-adjusted hazard ratios with 95% confidence intervals (CIs) for education level/occupation were calculated using Cox proportional hazard regression analysis.
Results
Compared to those who completed education at age 14 or younger, the age and area-adjusted hazard ratios of intraparenchymal hemorrhage incidence for men who completed education at age 15–17 and at age 18 or older were 0.42 (95% CI, 0.21–0.84) and 0.34 (95% CI, 0.14–0.84), respectively. The age- and area-adjusted hazard ratios of intraparenchymal hemorrhage and subarachnoid hemorrhage incidence for female white-collar workers compared to female blue-collar workers were 0.28 (95% CI, 0.08–0.98) and 3.23 (95% CI, 1.29, 8.01), respectively. No associations were found between education level and risk of coronary heart disease among both men and women.
Conclusion
These results suggest the pattern of social inequalities in health in Japan might be different from that in Western countries.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>19554455</pmid><doi>10.1007/s12529-009-9051-7</doi><tpages>9</tpages></addata></record> |
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| ispartof | International journal of behavioral medicine, 2010-03, Vol.17 (1), p.58-66 |
| issn | 1070-5503 1532-7558 |
| language | eng |
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| subjects | Adult Aged Asian people Cardiovascular disease Cardiovascular Diseases - epidemiology Cohort Studies Coronary Disease - epidemiology Education - statistics & numerical data Educational Status Family Medicine Female General Practice Health hazards Health Psychology Humans Inequality Intracranial Hemorrhages - epidemiology Japan - epidemiology Male Medicine Medicine & Public Health Middle Aged Proportional Hazards Models Prospective Studies Regression analysis Risk Factors Sex Factors Socioeconomic Factors Stroke - epidemiology |
| title | Socioeconomic Indicators and Cardiovascular Disease Incidence Among Japanese Community Residents: The Jichi Medical School Cohort Study |
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