Effectiveness of the Combined Approach for Assessing Social Gradients in Stroke Risk Among Married Women in Japan
スポンサーリンク
概要
- 論文の詳細を見る
Background: Analysis of the effects of social gradients on women’s health requires a suitable means of assessing social standing.<BR>Methods: We compared social gradients in stroke risk among 9317 married Japanese women from the Japan Public Health Center-based Prospective Study over a 16-year period. Social gradient was estimated by 3 methods of indicating social position: education level derived by using the individual approach (woman’s own educational level), the conventional approach (using her partner’s educational level), and the combined approach (combining the woman’s and her partner’s educational levels).<BR>Results: As compared with the lowest educational group, stroke risk was similar among women in the highest educational group using the individual approach and lower, but not significantly so, with the conventional approach. With the combined approach, however, the age- and area-adjusted hazard ratio (HR) was significantly lower among the highest education group as compared with the lowest group (HR = 0.52, 95% CI: 0.36, 0.76), and the relative index of inequality was significant (RII = 0.48, 95% CI: 0.32, 0.72). Using the combined approach, the results were similar irrespective of employment status. In the combined highest educational group, stroke risk among unemployed women was significantly reduced by 54%, while stroke risk for employed women was significantly reduced by 46%, as compared with the lowest educational group, with RIIs of 0.42 (95% CI: 0.21, 0.85) and 0.49 (0.30, 0.80), respectively.<BR>Conclusions: The results suggest that a combined approach better reflects social standing among married women in Japan.
- 2012-07-01
著者
-
INOUE Manami
Epidemiology & Prevention, Aichi Cancer Center Research Institute
-
Inoue Manami
Epidemiology And Prevention Div. Res. Center For Prevention And Screening National Cancer Center
-
Inoue Manami
Epidemiology And Prevention Division Research Center For Prevention And Screening National Cancer Ce
-
Sobue T
National Cancer Center Res. Inst.
-
Sobue Tomotaka
Cancer Information Service And Surveillance Division Cancer For Cancer Control And Information Servi
-
Iso Hiroyasu
Public Health Department Of Social And Environmental Medicine Division Of Preventive And Environment
-
Tsugane Shoichiro
Epidemiology And Biostatistic Division National Cancer Center Research Institute
-
Tsugane Shoichiro
Epidemiology And Prevention Division Research Center For Prevention And Screening National Cancer Ce
-
Tsugane Shoichiro
Epidemiology And Prevention Division Research Center For Cancer Prevention And Screening National Ca
-
Iso Hiroyasu
Public Health Department Of Social And Environmental Medicine Graduate School Of Medicine Osaka Univ
-
Inoue Manami
Epidemiology And Prevention Division Research Center For Cancer Prevention And Screening National Ca
-
Inoue Manami
Epidemiology And Prevention Division Research Center For Cancer Prevention And Screening National Ca
-
Sawada Norie
Epidemiology And Prevention Division Research Center For Cancer Prevention And Screening National Ca
-
Tsugane Shoichiro
Epidemiology And Prevention Division Research Center For Cancer Prevention And Screening National Ca
-
HONJO Kaori
Global Collaboration Center, Osaka University
-
IWATA Masahiko
Public Health, Department of Social and Environmental Health, Osaka University Graduate School of Medicine
-
CABLE Noriko
Department of Epidemiology and Public Health, University College London
-
Honjo Kaori
Global Collaboration Center Osaka University
-
Cable Noriko
Department Of Epidemiology And Public Health University College London
-
Iwata Masahiko
Public Health Department Of Social And Environmental Health Osaka University Graduate School Of Medicine
関連論文
- Synergistic Promoting Effects of Helicobacter pylori Infection and High-salt Diet on Gastric Carcinogenesis in Mongolian Gerbils
- Development and Distribution of 2-Amino- 1-methyl-6-phenylimidazo[4,5-b]-pyridine (PhIP)-induced Aberrant Crypt Foci in the Rat Large Intestine
- A Randomized Controlled Trial for Chemoprevention of Gastric Cancer in High-risk Japanese Population; Study Design, Feasibility and Protocol Modification
- A Pilot Study for a Randomized Controlled Trial to Prevent Gastric Cancer in High-risk Japanese Population : Study Design and Feasibility Evaluation
- A Prospective Cohort Study of Perceived Noise Exposure at Work and Cerebrovascular Diseases among Male Workers in Japan
- Lung Cancer Incidence Rates by Histologic Type in High- and Low- Risk Areas ; A Population-Based Study in Osaka, Okinawa, and Saku Nagano, Japan
- Isoflavone, polymorphisms in estrogen receptor genes and breast cancer risk in case-control studies in Japanese, Japanese Brazilians and non-Japanese Brazilians
- Ethnic difference in serology of Helicobacter pylori CagA between Japanese and non-Japanese Brazilians for non-cardia gastric cancer
- Serological Immunoglobulin G Antibody Titers to Helicobacter pylori in Japanese Brazilian and Non-Japanese Brazilian Gastric Cancer Patients and Controls in Sao Paulo
- Measurement Performance of Reagent Manufacturers by Centers for Disease Control and Prevention/Cholesterol Reference Method Laboratory Network Lipid Standardization Specified for Metabolic Syndrome-Focused Health Checkups Program in Japan
- Incidence and survival trends for childhood cancer in Osaka, Japan, 1973-2001
- Relationships of Age at Menarche and Menopause, and Reproductive Year with Mortality from Cardiovascular Disease in Japanese Postmenopausal Women : The JACC Study
- Food/nutrient intake and risk of atrophic gastritis among the Helicobacter pylori-infected population of northeastern Japan
- The Association Between Cancer Risk and Age at Onset of Smoking in Japanese
- Coffee, green tea, and caffeine consumption and subsequent risk of bladder cancer in relation to smoking status : a prospective study in Japan
- Impact of the revision of a nutrient database on the validity of a self-administered food frequency questionnaire (FFQ)
- Background Characteristics of Basic Health Examination Participants : the JPHC Study Baseline Survey
- Relationship of Urinary cGMP Excretion with Aging and Menopausal Status in a General Population
- Body Fat Distribution and the Risk of Hypertension and Diabetes among Japanese Men and Women
- Associations of Sleep-Disordered Breathing with Excessive Daytime Sleepiness and Blood Pressure in Japanese Women
- Aldosterone Synthase Gene T−344C Polymorphism, Sodium and Blood Pressure in a Free-Living Population: A Community-Based Study
- Smoking behavior and attitudes toward smoking cessation among members of the Japanese Cancer Association in 2004 and 2006
- Effects of Three-month Oral Supplementation of β-Carotene and Vitamin C on Serum Concentrations of Carotenoids and Vitamins in Middle-aged Subjects:A Pilot Study for a Randomized Controlled Trial to Prevent Gastric Cancer in High-risk Japanese Population
- Psychological Factors, Coffee and Risk of Diabetes Mellitus among Middle-Aged Japanese : a Population-Based Prospective Study in the JPHC Study Cohort
- Randomized Controlled Trial for an Effect of Green Tea Consumption on Insulin Resistance and Inflammation Markers
- Associations between Blood Lipid Profiles and Risk of Myocardial Infarction Among Japanese Male Workers : 3M Study
- Relationships of Soluble E-Selectin and High-Sensitivity C-Reactive Protein with Carotid Atherosclerosis in Japanese Men
- Body Mass Index and Serum γ-glutamyltransferase Level as Risk Factors for Injuries Related to Professional Horse Racing : A Prospective Study
- Metabolic Syndrome and the Risk of Ischemic Heart Disease and Stroke among Middle-Aged Japanese
- Relationships between Sleep-Disordered Breathing and Blood Pressure and Excessive Daytime Sleepiness among Truck Drivers
- Metabolic Syndrome and All-Cause and Cardiovascular Disease Mortality : Japan Public Health Center-Based Prospective (JPHC) Study
- The impact of the metabolic syndrome and its components on the incidence of ischemic heart disease and stroke : the Japan public health center-based study
- Long-Term Effects of Low-Frequency Home-Visit Rehabilitation by Cooperation with Physiotherapists and Health Care and Welfare Workers on Activities of Daily Living
- hOGG1 Ser326Cys polymorphism, interaction with environmental exposures, and gastric cancer risk in Japanese populations
- Impact of Lifestyle on Overall Cancer Risk among Japanese : The Japan Public Health Center-Based Prospective Study (JPHC Study)
- Association of habitual smoking and drinking with single nucleotide polymorphism (SNP) in 40 candidate genes : data from random population-based Japanese samples
- Long-term study of urinary bisphenol A in elementary school children
- Urinary Bisphenol-A Concentration in Infertile Japanese Women and Its Association with Endometriosis : A Cross-Sectional Study
- Relationship of Food Intake and Dietary Patterns with Blood Pressure Levels Among Middle-Aged Japanese Men
- Fresh and pickled vegetable consumption and gastric cancer in Japanese and Korean populations : A meta-analysis of observational studies
- Insulin resistance and cancer : Epidemiological evidence
- Validity of a Self-administered Food Frequency Questionnaire Used in the 5-year Follow-up Survey of the JPHC Study Cohort I to Assess Carotenoids and Vitamin C Intake : Comparison with Dietary Records and Blood Level
- Validity of a Self-administered Food Frequency Questionnaire Used in the 5-year Follow-up Survey of the JPHC Study Cohort I to Assess Fatty Acid Intake : Comparison with Dietary Records and Serum Phospholipid Level
- Validity of a Self-administered Food Frequency Questionnaire Used in the 5-year Follow-up Survey of the JPHC Study Cohort I : Comparison with Dietary Records for Food Groups
- Validity of the Self-administered Food Frequency Questionnaire Used in the 5-year Follow-Up Survey of the JPHC Study Cohort I : Comparison with Dietary Records for Main Nutrients
- Food and Nutrient Intakes Assessed with Dietary Records for the Validation Study of a Self-administered Food Frequency Questionnaire in JPHC Study Cohort I
- Self-administered Food Frequency Questionnaire Used in the 5-year Follow-up Survey of the JPHC Study : Questionnaire Structure, Computation Algorithms, and Area-based Mean Intake
- Validity and Reproducibility of the Self-administered Food Frequency Questionnaire in the JPHC Study Cohort I : Study Design, Conduct and Participant Profiles
- Dietary Habits among the JPHC Study Participants at Baseline Survey
- Development of Substituted Fatty Acid Food Composition Table for the Use in Nutritional Epidemiologic Studies for Japanese Populations : Its Methodological Backgrounds and the Evaluation
- Reproducibility of a Self-administered Food Frequency Questionnaire Used in the 5-year Follow-up Survey of the JPHC Study Cohort I to Assess Food and Nutrient Intake
- Validity of a Self-administered Food Frequency Questionnaire Used in the 5-year Follow-up Survey of the JPHC Study Cohort I to Assess Dietary Fiber Intake : Comparison with Dietary Records
- Validity of a Self-administered Food Frequency Questionnaire in the 5-year Follow-up Survey of the JPHC Study Cohort I to Assess Sodium and Potassium Intake : Comparison with Dietary Records and 24-hour Urinary Excretion Level
- Validity of the Self-administered Food Frequency Questionnaire Used in the 5-year Follow-up Survey for the JPHC Study to Assess Folate, Vitamin B_6 and B_ Intake : Comparison with Dietary Records and Blood Level
- Validity of a Self-administered Food Frequency Questionnaire Used in the 5-year Follow-up Survey of the JPHC Study to Assess Selenium Intake : Comparison with Dietary Records and Blood Levels
- Smoking and Risk of Premature Death among Middle-aged Japanese : Ten-year Follow-up of the Japan Public Health Center-based Prospective Study on Cancer and Cardiovascular Diseases (JPHC Study) Cohort I
- A Data-Based Approach for Designing a Semiquantitative Food Frequency Questionnaire for a Population-based Prospective Study in Japan
- Population Attributable Fraction of Mortality Associated with Tobacco Smoking in Japan : A Pooled Analysis of Three Large-scale Cohort Studies
- Reduced Life Expectancy due to Smoking in Large-Scale Cohort Studies in Japan
- Associations Between Metabolic Syndrome and Mortality From Cardiovascular Disease in Japanese General Population, Findings on Overweight and Non-Overweight Individuals : Ibaraki Prefectural Health Study
- Reproducibility of Diagnosis and Its Influence on the Distribution of Lung Cancer by Histologic Type in Osaka, Japan
- Residential Radon Exposure and Lung Cancer Risk in Misasa, Japan: a Case-control Study
- Mortality and Cancer Incidence in Misasa, Japan, a Spa Area with Elevated Radon Levels
- Trends of Lung Cancer Incidence by Histologic Type : A Population-based Study in Osaka, Japan
- Validity and Reproducibility of a Self-administered Food Frequency Questionnaire Used in the Baseline Survey of the JPHC Study Cohort I
- Serum n-3 Fatty Acids, Fish Consumption and Cancer Mortality in Six Japanese Populations in Japan and Brazil
- Plasma testosterone and sex hormone-binding globulin concentrations and the risk of prostate cancer among Japanese men : A nested case-control study
- Validity of a Self-Administered Food Frequency Questionnaire for Middle-Aged Urban Cancer Screenees: Comparison With 4-Day Weighed Dietary Records
- A population-based cohort study for the risk factors of HCC among hepatitis B virus mono-infected subjects in Japan
- Fermented and non-fermented soy food consumption and gastric cancer in Japanese and Korean populations : A meta-analysis of observational studies
- Association of body mass index with risk of age-related cataracts in a middle-aged Japanese population : the JPHC Study
- Validity and applicability of a simple questionnaire for the estimation of total and domain-specific physical activity
- An Association Between Long-Term Exposure to Ambient Air Pollution and Mortality From Lung Cancer and Respiratory Diseases in Japan
- Body Mass Index and Mortality From All Causes and Major Causes in Japanese : Results of a Pooled Analysis of 7 Large-Scale Cohort Studies
- Validity of a Self-Administered Food Frequency Questionnaire for Middle-Aged Urban Cancer Screenees : Comparison With 4-Day Weighed Dietary Records
- Positive predictive values for self-reported fractures in an adult Japanese population
- Fasting plasma glucose and 5-year incidence of diabetes in the JPHC diabetes study-suggestion for the threshold for impaired fasting glucose among Japanese
- Longitudinal Risk of Cardiovascular Events in Relation to Depression Symptoms After Discharge Among Survivors of Myocardial Infarction : Osaka Acute Coronary Insufficiency Study (OACIS)
- The Shozu Herpes Zoster (SHEZ) Study : Rationale, Design, and Description of a Prospective Cohort Study
- Validity and Reproducibility of a Self-administered Food Frequency Questionnaire in the JPHC Study Cohort II : Study Design, Participant Profile and Results Comparison with Cohort I
- Reproducibility and Validity of Dietary Patterns Assessed by a Food Frequency Questionnaire Used in the 5-Year Follow-Up Survey of the Japan Public Health Center-Based Prospective Study
- Prediagnostic Plasma Antibody Levels to Periodontopathic Bacteria and Risk of Coronary Heart Disease
- Effectiveness of the Combined Approach for Assessing Social Gradients in Stroke Risk Among Married Women in Japan
- Self-Reported Snoring Frequency and Incidence of Cardiovascular Disease : The Circulatory Risk in Communities Study (CIRCS)
- Parental History and Lifestyle Behaviors in Relation to Mortality From Stroke Among Japanese Men and Women : The Japan Collaborative Cohort Study
- Genetic polymorphisms in estrogen metabolism and breast cancer risk in case-control studies in Japanese, Japanese Brazilians and non-Japanese Brazilians
- Association between polymorphisms in glutathione S-transferase Mu3 and IgG titer levels in serum against Helicobacter pylori
- Serum Total and Non-High-Density Lipoprotein Cholesterol and the Risk Prediction of Cardiovascular Events : The JALS-ECC
- Reproducibility of a Self-administered Food Frequency Questionnaire Used in the 5-year Follow-up Survey of the JPHC Study Cohort I to Assess Food and Nutrient Intake
- Relation of Serum α- and γ-Tocopherol Levels to Cardiovascular Disease-Related Mortality Among Japanese Men and Women
- Relation of Serum α- and γ-Tocopherol Levels to Cardiovascular Disease-Related Mortality Among Japanese Men and Women
- A Prospective Cohort Study of Employment Status and Mortality from Circulatory Disorders among Japanese Workers
- Body Mass Index and Weight Change During Adulthood Are Associated With Increased Mortality From Liver Cancer: The JACC Study
- Relationship Between Cold Temperature and Cardiovascular Mortality, With Assessment of Effect Modification by Individual Characteristics:– Ibaraki Prefectural Health Study –
- Guidelines for Secondary Prevention of Myocardial Infarction (JCS 2011) : Digest Version
- Epidemiology of Esophageal Cancer in Japan and China
- Associations of Dietary Iron Intake With Mortality From Cardiovascular Disease : The JACC Study
- Cohort Profile: The Fangshan Cohort Study of Cardiovascular Epidemiology in Beijing, China
- Dietary Reference Intakes for Japanese 2010: Fat
- Association Between Weight Change Since 20 Years of Age With Mortality From Myocardial Infarction and Chronic Heart Failure in the Japan Collaborative Cohort (JACC) Study