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大学・研究所にある論文を検索できる 「Mortality inequalities by occupational class among men in Japan, South Korea, and 8 European countries : a comparative study of national register-based data, 1990-2015」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。
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Mortality inequalities by occupational class among men in Japan, South Korea, and 8 European countries : a comparative study of national register-based data, 1990-2015

田中, 宏和 東京大学 DOI:10.15083/0002000460

2021.06.29

概要

Background: We compared mortality inequalities by occupational class in Japan and South Korea with those in European countries, in order to determine whether patterns are similar.

Methods: National register-based data from Japan, South Korea, and 8 European countries (Finland, Denmark, England/Wales, France, Switzerland, Italy (Turin), Estonia, Lithuania) covering the period between 1990 and 2015 were collected and harmonized. We calculated age-standardized all-cause and cause-specific mortality among men aged 35-64 by occupational class and measured the magnitude of inequality with rate differences, rate ratios, and the Average Inter-group Difference.

Results: Clear gradients in mortality remain in all European countries throughout the study period: manual workers had 1.6-2.5 times higher mortality than upper non-manual workers. However, in the most recent time-period, upper non-manual workers had higher mortality than manual workers in Japan and South Korea. This pattern emerged as a result of a rise in mortality among the upper non-manual group in Japan during the late 1990s, and in South Korea during the late 2000s, due to rising mortality from cancer and external causes (including suicide).

Conclusion: Patterns of mortality by occupational class are remarkably different between European countries and Japan and South Korea. The recently observed patterns in the latter two countries may be related to a larger impact on the higher occupational classes of the economic crisis in the late 1990s and the late 2000s, respectively, and show that a high socioeconomic position could not guarantee better health.

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