sexgender and socioeconomic differences in the predictive ability of self-rated health for mortalitysexgender和社会经济差异对死亡率的预测能力自我评估健康.pdfVIP

Sex/Gender and Socioeconomic Differences in the Predictive Ability of Self-Rated Health for Mortality 1,2,3 1 1,4,5 6 7 Akihiro Nishi *, Ichiro Kawachi , Kokoro Shirai , Hiroshi Hirai , Seungwon Jeong , Katsunori Kondo7 1 Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, Massachusetts, United States of America, 2 Institute for Quantitative Social Science, Harvard University, Boston, Massachusetts, United States of America, 3 Department of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan, 4 Department of Global Health and Population, Harvard School of Public Health, Boston, Massachusetts, United States of America, 5 Department of Human Sciences, School of Law and Letters, University of the Ryukyus, Okinawa, Japan, 6 Iwate University Faculty of Engineering, Iwate University, Morioka, Japan, 7 Center for Well-being and Society, Nihon Fukushi University, Nagoya, Japan Abstract Background: Studies have reported that the predictive ability of self-rated health (SRH) for mortality varies by sex/gender and socioeconomic group. The purpose of this study is to evaluate this relationship in Japan and explore the potential reasons for differences between the groups. 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- dwelling people who were at least 65 years old at the start of the study. We first examined sex/gender and education-level differences in association with fair/poor SRH. We then estimated the sex/gender- and education-specific hazard ratios (