 |
The 130th Annual Meeting of APHA |
|
The 130th Annual Meeting of APHA |
Fukuda Yoshiharu, Takano Takehito, Nakamura Keiko, and Watanabe Masafumi. Health Promotion/International Health, Tokyo Medical and Dental Univerity, Yushima 1-5-45, Bunkyo-ku, Tokyo, 113-8519, Japan, +81-3-5803-5189, fukuda.hlth@tmd.ac.jp
This study aims to investigate the association between socioeconomic deprivation and mortality at the municipal level in Japan. Small area analysis was conducted using mortality data and ten socioeconomic indicators by municipality in 1978-98. Two deprivation indices were drawn using factor analysis of socioeconomic indicators; Index 1 related to higher unemployment and overcrowding, and Index 2 related to lower educational level and lower income. Increased level of deprivation indices was significantly correlated with higher mortality, except a few cases of female mortality. Male mortality showed the stronger correlation with the indices than female mortality. In 1993-98, the most deprived municipalities had 6% and 21% male excess mortality and 11% and 5% female excess mortality for the population aged under 65 years due to Index 1 and Index 2, respectively, comparing with the less deprived municipalities. The overall population showed smaller excess mortality than the population aged under 65 years. Time trends showed that the mortality gradients by Index 1 became steeper over time especially for females. This study implied that the policy for elimination of socioeconomic inequality and improvement of living conditions is likely to contribute reduce of excess mortality, especially in the younger population.
Learning Objectives: The participants in this session will be able to
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.