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Socioeconomic inequalities in self-rated health in Japan, 32 European countries and the United States: an international comparative study
[Zeitschriftenartikel]
Abstract Aims: Japan is known as a country with low self-rated health despite high life expectancy. We compared socioeconomic inequalities in self-rated health in Japan with those in 32 European countries and the US using nationally representative samples. Methods: We analysed individual data from the Compre... mehr
Aims: Japan is known as a country with low self-rated health despite high life expectancy. We compared socioeconomic inequalities in self-rated health in Japan with those in 32 European countries and the US using nationally representative samples. Methods: We analysed individual data from the Comprehensive Survey of Living Conditions (Japan), the European Union Statistics on Income and Living Conditions, and the Behavioral Risk Factor Surveillance System (US) in 2016. We used ordered logistic regression models with four ordinal categories of self-rated health as an outcome, and educational level or occupational class as independent variables, controlling for age. Results: In Japan, about half the population perceived their health as ‘fair’, which was much higher than in Europe (≈20-40%). The odds ratios of lower self-rated health among less educated men compared with more educated were 1.72 (95% confidence interval (CI) 1.61-1.85) in Japan, and ranged from 1.67 to 4.74 in Europe (pooled; 2.10 (95% CI 2.01-2.20)), and 6.65 (95% CI 6.22-7.12) in the US. The odds ratios of lower self-rated health among less educated women were 1.79 (95% CI 1.65-1.95) in Japan, and ranged from 1.89 to 5.30 in Europe (pooled; 2.43 (95% CI 2.33-2.54)), and 8.82 (95% CI 8.29-9.38) in the US. Socioeconomic inequalities were large when self-rated health was low for European countries, but Japan and the US did not follow the pattern. Conclusions:
Japan has similar socioeconomic gradient patterns to European countries for self-rated health, and our findings revealed smaller socioeconomic inequalities in self-rated health in Japan compared with those in western countries.... weniger
Thesaurusschlagwörter
Japan; sozioökonomische Faktoren; Europa; USA; Selbsteinschätzung; Ungleichheit; Gesundheitszustand; internationaler Vergleich
Klassifikation
Medizinsoziologie
Freie Schlagwörter
self-assessed health; perceived health; health surveys; EU-SILC 2019
Sprache Dokument
Englisch
Publikationsjahr
2022
Seitenangabe
S. 1-12
Zeitschriftentitel
Scandinavian Journal of Public Health (2022) OnlineFirst
DOI
https://doi.org/10.1177/14034948221092285
ISSN
1651-1905
Status
Veröffentlichungsversion; begutachtet (peer reviewed)