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May 27, 2005BMC Public HealthOpen Access

Accumulation of health risk behaviours is associated with lower socioeconomic status and women's urban residence: a multilevel analysis in Japan

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Key result

Lower individual socioeconomic status was associated with a higher likelihood of health risk behaviors in both sexes, while higher regional per capita income was associated with increased risk behaviors in women.

Population

41,106 Japanese adults aged 25 to 59 years old from a nationally representative sample.

Design

Cross-sectional

Authors

YFYoshiharu FukudaKNKeiko NakamuraTTTakehito Takano

Discussion

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Overview

May inform SES-targeted prevention; leaves open causal role of regional income in women's behaviors.

Study Design

Type

Cross-Sectional (n=41,106)

Structured PICO

P
Population
41,106 Japanese adults aged 25 to 59 years old from a nationally representative sample were analyzed to assess the relationship between socioeconomic status and health risk behaviors.
O
Outcome
Prevalence and likelihood of six health risk behaviours: current smoking, excessive alcohol consumption, poor dietary habits, physical inactivity, stress, and non-attendance of health check-ups.patient reported

Individual lower socioeconomic status is a substantial predictor of health risk behaviors in Japanese adults, with marked regional influences observed particularly in women.

Limitations

  • Potential differences in response rates based on socioeconomic status and region may have caused selection bias.
  • Self-reported questionnaire for health risk behaviors, with some behaviors being quite subjective.
  • Validity and reliability of some questions not examined in detail, potentially inducing misclassification bias.
  • Models did not consider random effects of the variables or interactions between the variables.
  • Educational attainment was not included as a measure of socioeconomic status.

Cite This Study

Fukuda et al. (2005) conducted a cross-sectional in Health risk behaviours (n=41,106). Lower socioeconomic status and regional socioeconomic indicators vs. Higher socioeconomic status and lower regional socioeconomic indicators was evaluated on Health risk behaviours (current smoking, excessive alcohol consumption, poor dietary habits, physical inactivity, stress, non-attendance of health check-ups). Lower individual socioeconomic status was associated with a higher likelihood of health risk behaviors in both sexes, while higher regional per capita income was associated with increased risk behaviors in women.

synapsesocial.com/papers/6a903fef0691efebbb2785b4https://doi.org/10.1186/1471-2458-5-53
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Also Consider

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