SexGender and Socioeconomic Differences in the Predictive Ability of Self-Rated Health for Mortality 英文参考文献.docVIP
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SexGender and Socioeconomic Differences in the Predictive Ability of Self-Rated Health for Mortality 英文参考文献
Sex/GenderandSocioeconomicDifferencesinthe
PredictiveAbilityofSelf-RatedHealthforMortality
AkihiroNishi1,2,3*,IchiroKawachi1,KokoroShirai1,4,5,HiroshiHirai6,SeungwonJeong7 ,Katsunori
Kondo7
1DepartmentofSociety,HumanDevelopment,andHealth,HarvardSchoolofPublicHealth,Boston,Massachusetts,UnitedStatesofAmerica,2InstituteforQuantitative
SocialScience,HarvardUniversity,Boston,Massachusetts,UnitedStatesofAmerica,3DepartmentofPublicHealth,GraduateSchoolofMedicine,TheUniversityofTokyo,
Tokyo,Japan,4DepartmentofGlobalHealthandPopulation,HarvardSchoolofPublicHealth,Boston,Massachusetts,UnitedStatesofAmerica,5DepartmentofHuman
Sciences,SchoolofLawandLetters,UniversityoftheRyukyus,Okinawa,Japan,6IwateUniversityFacultyofEngineering,IwateUniversity,Morioka,Japan,7Centerfor
Well-beingandSociety,NihonFukushiUniversity,Nagoya,Japan
Abstract
Background:Studieshavereportedthatthepredictiveabilityofself-ratedhealth(SRH)formortalityvariesbysex/gender
and socioeconomic group. The purpose of this study is to evaluate this relationship in Japan and explore the potential
reasonsfordifferencesbetweenthegroups.
Methodology/Principal Findings: The analyses in the study were based on the Aichi Gerontological Evaluation Study’s
(AGES) 2003 Cohort Study in Chita Peninsula, Japan, which followed the four-year survival status of 14,668 community-
dwellingpeoplewhowereatleast65yearsoldatthestartofthestudy.Wefirstexaminedsex/genderandeducation-level
differencesinassociationwithfair/poorSRH.Wethenestimatedthesex/gender-andeducation-specifichazardratios(HRs)
of mortality associated with lower SRH using Cox models. Control variables, including health behaviors (smoking and
drinking),symptoms ofdepression, andchronic co-morbidconditions, wereadded tosequential regression models. The
resultsshowedmenandwomenreportedasimilarprevalenceoflowerSRH.However,lowerSRHwasastrongerpredictor
ofmortalityinmen(HR=2.44[95%confidenceinterval(CI):2.14–2.80])thaninwomen(HR=1.88[95%CI:1.44–2.47];pfor
sex/genderinteracti
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