scholarly journals Trends and socioeconomic inequalities in self-rated health in Japan, 1986–2016

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hirokazu Tanaka ◽  
Johan P. Mackenbach ◽  
Yasuki Kobayashi
Keyword(s):  
Socioeconomic Inequalities ◽  
Ordinal Scale ◽  
Occupational Class ◽  
Logistic Regression Models ◽  
Self Rated Health ◽  
Working Age ◽  
Comprehensive Survey ◽  
Low Levels ◽  
Nationally Representative ◽  
High Level

Abstract Introduction Despite having very high life expectancy, Japan has relatively poor self-rated health, compared to other high-income countries. We studied trends and socioeconomic inequalities in self-rated health in Japan using nationally representative data. Methods The Comprehensive Survey of Living Conditions was analyzed, every 3 years (n ≈ 0.6–0.8 million/year) from 1986 to 2016. Whereas previous studies dichotomized self-rated health as an outcome, we used four categories: very good, good, fair, and bad/very bad. Proportional odds ordinal logistic regression models are used, with ordinal scale self-rated health as an outcome, and age category, survey year and occupational class or educational level as independent variables. Results In 2016, the age-adjusted percentages for self-rated health categorized as very good, good, fair, and bad/very bad, were 24.0, 17.1, 48.7, and 10.2% among working-age men, and 21.6, 17.5, 49.4, and 11.5% among working-age women, respectively. With 1986 as the reference year, the odds ratios (ORs) of less good self-rated health were lowest in 1995 (0.69; 95% Confidence Interval [95% CI]: 0.66–0.71 of working-age men), and highest in 2010 (1.23 [95% CI: 1.19–1.27]). The ORs of male, lower non-manual workers (compared to upper non-manual) increased from 1.12 (95% CI: 1.07–1.17) in 2010 to 1.20 (95% CI: 1.15–1.26) in 2016. Between 2010 and 2016, the ORs of working-age men with middle and low levels of education (compared to a high level of education) increased from 1.22 (95% CI: 1.18–1.27) to 1.34 (95% CI: 1.29–1.38), and from 1.47 (95% CI: 1.39–1.56) to 1.75 (95% CI: 1.63–1.88), respectively. The ORs of working-age women with middle and low levels of education also increased from 1.22 (95% CI: 1.17–1.28) to 1.32 (95% CI: 1.26–1.37), and from 1.74 (95% CI: 1.61–1.88) to 2.03 (95% CI: 1.87–2.21) during the same period. Conclusion Japan has the unique feature that approximately 50% of the survey respondents rated their self-rated health as fair, but with important variations over time and between socioeconomic groups. In-depth studies of the role of socioeconomic conditions may shed light on the reasons for the high prevalence of poor self-rated health in Japan.

scholarly journals NEIGHBORHOOD AGE COMPOSITION AND SELF-RATED HEALTH: FINDINGS FROM A NATIONALLY REPRESENTATIVE STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S64-S64
Author(s):  
Amanda Lehning ◽  
Amanda J Lehning ◽  
Nicole Mattocks ◽  
Kyeongmo Kim ◽  
Richard J Smith
Keyword(s):  
Older Adults ◽  
Regression Models ◽  
Neighborhood Change ◽  
Age Composition ◽  
Logistic Regression Models ◽  
Self Rated Health ◽  
Representative Study ◽  
Nationally Representative ◽  
Using Data ◽  
Conceptual Work

Abstract Neighborhood age composition is an understudied area. Furthermore, existing empirical and conceptual work is conflicting, with some indicating neighborhoods with more older adults are beneficial and other scholarship suggesting it can be detrimental. Using data from 7,197 older adults from the first wave (2011) of the National Health & Aging Trends Study combined with census tract data from the National Neighborhood Change Database, we examined the association between neighborhood age composition and self-rated health. Findings from logistic regression models indicate those living in neighborhoods with a growing concentration of older residents are significantly more likely to report lower self-rated health compared to those living in a neighborhood in which older adults overall are declining (β=1.51, p < .05) or are becoming diluted by younger residents (β=.66, p < .05). Results have implications for interventions promoting aging in place, particularly for those who may be stuck in place in age-concentrated neighborhoods.

scholarly journals Trends in Attitudes of Whites, Blacks, Asians, and Hispanics toward Intermarriage in the Twenty-First Century

Societies ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 21
Author(s):  
Philip Q. Yang ◽  
Jonbita Prost
Keyword(s):  
Regression Models ◽  
General Trend ◽  
The United States ◽  
First Century ◽  
Logistic Regression Models ◽  
Social Surveys ◽  
Twenty First Century ◽  
Nationally Representative ◽  
High Level ◽  
Representative Samples

No study has simultaneously compared attitudes of whites, blacks, Asians, and Hispanics toward intermarriage over time. This study offers a comparative analysis of the changes in attitudes of whites, blacks, Asians, and Hispanics toward intermarriage with different racial or ethnic groups in the twenty-first century, using nationally representative samples from General Social Surveys 2000–2018. Our trend analyses reveal that whites’ support for intermarriage with minorities has generally increased, albeit at a relatively lower level; blacks’ support for intermarriage with Asians, Hispanics, and whites has been quite stable at a relatively high level; Asians’ and Hispanics’ support for intermarriage with other minorities has generally shown an upswing trend with some minor fluctuations, but their support for intermarriage with whites has gone in the opposite direction with oscillations. The results of our generalized linear ordinal logistic regression models show that either including or excluding control variables, whites’ attitudes have become generally more supportive of intermarriage with minorities, blacks’ support for intermarriage has displayed an undulated pattern, and Asians’ and Hispanics’ support for intermarriage reveal diverse patterns depending on the group to intermarry with. The findings indicate a general trend of narrowing intergroup social distances as well as some increases in social distance between certain groups in the United States in the twenty-first century.

scholarly journals What Predicts Advance Care Planning Among Older Adults: Perceived Health or the Number of Chronic Conditions?

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 421-421
Author(s):  
YuHsuan (Olivia) Wang ◽  
Susan Enguidanos ◽  
Olivia Wang
Keyword(s):  
Older Adults ◽  
Advance Care Planning ◽  
Chronic Conditions ◽  
Care Planning ◽  
Health Care Proxy ◽  
Logistic Regression Models ◽  
Self Rated Health ◽  
Quality Of Death ◽  
Advance Care ◽  
Nationally Representative

Abstract Advance care planning (ACP) is associated with improved quality of death and better end-of-life care. Studies have found that both health status and chronic illness influence rates of ACP. However, little is known about the relative association of each factor with engaging in ACP. This study aims to identify the extent to which the number of chronic conditions and self-rated health predict engaging in ACP. We used data from the Health and Retirement Study, a nationally-representative longitudinal survey of older adults. The sample consisted of 2016 core interview respondents. We conducted logistic regression models to examine the association between self-rated health and the number of self-reported chronic conditions with three dependent variables: (1) ACP engagement (n=687), (2) AD completion (n=1671), and (3) assignment of health care proxy (n=1668), while controlling for demographic characteristics,. Samples were weighted. Analysis revealed that reporting more chronic conditions was associated with higher odds of advance directive completion (OR:1.21, p<.001), ACP engagement (OR: 1.26, p<.05), and assigning medical proxies (OR: 1.32, p<.001). However, better self-reported health was associated with higher odds of having an AD (OR: 1.20, p<.05) and assigning medical proxies (OR: 1.27, p<.01). These findings suggest that greater number of chronic conditions increased the odds of having an AD, engaging in ACP and in assigning medical proxies; however, those reporting better health were more likely to have an AD and a medical proxy. Findings from this study point suggest that individuals with multi-morbidities may be more open to engaging in ACP discussions and activities.

Population Policies in Turkey and Demographic Changes on a Social Map

2016 ◽  
Vol 6 (2) ◽  
pp. 240-266 ◽  
Author(s):  
Mustafa Murat Yucesahin ◽  
Tuğba Adalı ◽  
A Sinan Türkyılmaz
Keyword(s):  
Population Policy ◽  
Developed Countries ◽  
Ageing Population ◽  
Demographic Changes ◽  
Demographic Transitions ◽  
Population Policies ◽  
Demographic Indicators ◽  
The Social ◽  
Working Age ◽  
Low Levels

Compared to its past structure, Turkey is now a country with low levels of fertility and mortality. This junction that Turkey now has reached is associated with a number of risks, such as an ageing population, and a decreasing working-age population. The antinatalist policy era of Turkey was followed by a period of maintenance, yet the recent demographic changes formed the basis of a pronatalist population policy from the government’s view. This study discusses the link between demographic change and population policies in Turkey. It further aims to position Turkey spatially in relation to selected countries that are in various stages of their demographic transitions with different population policies, using a multidimensional scaling approach with data on 25 selected countries from the UN. The analysis is based on a 34-year period, 1975-2009, so as to better demonstrate Turkey’s international position on a social map, past and present. Our findings suggest that Turkey’s position on the social map shifted towards developed countries over time in terms of demographic indicators and population policies. 

PENGARUH CITRA PERUSAHAAN DAN KEPERCAYAAN TERHADAP KEPUASAN PASIEN PADA RUMAH SAKIT MITRA MEDIKA NAROM KABUPATEN BEKASI

2020 ◽  
Vol 7 (1) ◽  
pp. 41-49
Author(s):  
Ajat Sudrajat
Keyword(s):  
Patient Satisfaction ◽  
Health Services ◽  
Corporate Image ◽  
Ordinal Scale ◽  
Survey Method ◽  
Microsoft Excel ◽  
Analysis Techniques ◽  
Level Of Satisfaction ◽  
Verification Methods ◽  
High Level

Patient satisfaction at the hospital is a benchmark that is a benchmark for patients in getting health care. Each hospital must run a variety of strategies so that patients feel satisfied with health services, one of the strategies is through a good corporate image and trust, where a good corporate image can increase trust. So that affecting patient satisfaction Mitra Medika Narom Hospital Kabupaten Bekasi.             This research was conducted with descriptive and verification methods, namely knowing, analyzing, explaining and testing hypotheses, and making conclusions and suggestions. The sample in this study amounted to 240 respondents using the Eksplanary Survey method. Data analysis techniques used are ordinal scale techniques and path analysis using the Method of Successive Interval (MSI) tool, Microsoft Excel 2016 computer programs and SPSS 16.             The results of this study reveal that the company's image at the Mitra Medika Narom Hospital in Kabupaten Bekasi is in the agreed criteria, meaning that Mitra Medika Narom Hospital has built and made a good company image so that it is better known to all people. Furthermore, trust in Mitra Medika Narom Hospital in Kabupaten Bekasi is in the agreed criteria, meaning that Mitra Medika Narom Hospital has succeeded in building a good and optimal Trust so that patients trust Mitra Medika Narom Hospital to obtain health services. Then the patient satisfaction at the Mitra Medika Narom Hospital in Kabupaten Bekasi is in the agreed criteria, meaning that the patients as respondents feel a high level of satisfaction after completing treatment at the Mitra Medika Narom Hospital. There is a positive, strong and two-way correlation between company image and trust variables of 0.646. There is a partial influence of company image on patient satisfaction at Mitra Medika Narom Hospital significantly by 11.98%. There is a partial influence of trust on patient satisfaction at Mitra Medika Narom Hospital significantly by 25.08%. Then there is a simultan influence of corporate image and trust on patient satisfaction at Mitra Medika Narom Hospital positively and significantly by 37.06% while the remaining 62.94% is contributed by other variables not examined

High world sugar prices: is Asia’s production cycle to blame?

2010 ◽  
pp. 169-173
Author(s):  
Martin Todd
Keyword(s):  
Supply Chain ◽  
Supply And Demand ◽  
Production Cycle ◽  
Low Levels ◽  
High Level ◽  
High World

The current high world sugar prices reflect a major imbalance between global supply and demand, which has reduced stocks to very low levels. Although it remains to be seen whether prices will rise much above current values, it is clear that the supply chain will remain stretched throughout 2010 and this will help to maintain prices at a high level.

Do expectations for post-retirement family and government support crowd out pre-retirement savings? Insights from the working-age population in Thailand

2021 ◽  
pp. 1-19
Author(s):  
Nopphol Witvorapong ◽  
Yong Yoon ◽  
Wiraporn Pothisiri
Keyword(s):  
Old Age ◽  
Filial Piety ◽  
Government Support ◽  
Financial Security ◽  
Retirement Savings ◽  
Family Transfers ◽  
Retirement Expectations ◽  
Working Age ◽  
Nationally Representative ◽  
The Government

Abstract Based on nationally representative data (N = 8,901), this study investigates the extent to which expectations for intra-family transfers and government assistance in old age impact the probability of saving for retirement among working-age individuals in Thailand. Results show that expectations for financial non-self-reliance and expectations that family support would constitute the most important source of old-age financial security reduce the probability that working-age individuals would save for retirement. Expectations for government support have no impact on average. Given that filial piety is weakening in Thailand, this study suggests that the government encourage pre-retirement savings more strongly.

Do Migrants Receive Tuberculosis Education in China? Evidence From the China Migrants Dynamic Survey

2021 ◽  
pp. 109019812110003
Author(s):  
Zheng Zhu ◽  
Mengdi Guo ◽  
Tingyue Dong ◽  
Beibei Gong ◽  
Xia Zhao ◽  
...  
Keyword(s):  
Low Socioeconomic Status ◽  
Age Groups ◽  
Secondary Data ◽  
Total Sample ◽  
Self Report ◽  
Primary Methods ◽  
Logistic Regression Models ◽  
Key Population ◽  
Bulletin Boards ◽  
Nationally Representative

Background Migrants are the key population for tuberculosis (TB) transmission in China. However, it remains unknown how many migrants have received TB education and through what means. Objectives To identify the rate and methods of TB education among migrants in China by using nationally representative data. Method This study used secondary data analysis. The data were derived from the China Migrants Dynamic Survey 2014–2017. A total sample of 745,926 migrants was included in the following analysis. Information on TB education was collected through a self-report questionnaire. We used hierarchical logistic regression models to explore the relationship between the independent variables and the receipt of TB education. Results Only 30.4% ( n = 226,458) received TB education. Among all age-groups, participants between 65 and 69 years old had the highest TB education rate (33.4%). Bulletin boards (86.5%–91%), media (73% to 86.7%), and books/magazines (59.2%–67.4%) were the most common ways for migrants to receive TB education. Conclusions Our study showed the rates of TB education in each region of China and indicated the significant disparity among the seven regions. Traditional media, off-line medical consultation, community advocacy, and bulletin boards should be the primary methods of delivering TB education. TB education campaigns targeting migrants with a low socioeconomic status should be actively promoted.

scholarly journals Self-Rated Health Status Based on the Type of Health Insurance: A Socioeconomic Perspective

2021 ◽  
Vol 58 ◽  
pp. 004695802110281
Author(s):  
Minsung Sohn ◽  
Minsoo Jung ◽  
Mankyu Choi
Keyword(s):  
Socioeconomic Status ◽  
Health Insurance ◽  
Health Status ◽  
Regression Models ◽  
Private Health Insurance ◽  
Public And Private ◽  
Logistic Regression Models ◽  
Self Rated Health ◽  
Interaction Terms ◽  
Healthcare Coverage

To investigate the effects of public and private health insurance on self-rated health (SRH) status within the National Health Insurance (NHI) system based on socioeconomic status in South Korea. The data were obtained from 10 867 respondents of the Korea Health Panel (2008-2011). We used hierarchical panel logistic regression models to assess the SRH status. We also added the interaction terms of socioeconomic status and type of health insurance as moderators. Medical aid (MA) recipients were 2.10 times more likely to have a low SRH status than those who were covered only by the NHI, even though the healthcare utilization was higher. When the interaction terms were included, those not covered by the NHI and had completed elementary school or less were 16.59 times more likely to have a low SRH status than those covered by the NHI and had earned a college degree or higher. Expanding healthcare coverage to reduce the burden of non-payment and unmet use to improve the health status of MA beneficiaries should be considered. Particularly, the vulnerability of less-educated groups should be focused on.

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