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与日本国民健康保险健康检查参与相关的因素：NIPPON DATA2010。

Factors Related to Participation in Health Examinations for Japanese National Health Insurance: NIPPON DATA2010.

机构信息

Department of Environmental and Occupational Health, School of Medicine, Toho University.

Department of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku University.

出版信息

J Epidemiol. 2018;28 Suppl 3(Suppl 3):S53-S58. doi: 10.2188/jea.JE20170251.

DOI:10.2188/jea.JE20170251
PMID:29503387
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5825691/
Abstract

BACKGROUND

This study investigated relationships among socioeconomic factors and participation in health examinations for Japanese National Health Insurance (NHI) using a representative Japanese population.

METHODS

We used the linkage database of NIPPON DATA2010 and Comprehensive Survey of Living Conditions 2010. Participants with NHI aged 40-74 years were included in the analysis. Prevalence ratios (PRs) for participation in health examinations in the past year were set as an outcome. Participant characteristics, including sex, age, socioeconomic factors (educational attainment, employment, equivalent household expenditure [EHE], house ownership, and marital status), laboratory measures, and lifestyle were included in an age-stratified modified Poisson regression analysis to examine relationships.

RESULTS

The number of study participants was 812, and 564 (69.5%) participated in health examinations in the past year. Among those aged 40-64 years, there was no significant PR for socioeconomic factors. Among those aged 65-74 years, high (≥13 years) educational attainment (adjusted PR, 1.22; 95% confidence interval [CI], 1.05-1.41) and house ownership (PR 1.40; 95% CI, 1.11-1.77) were positively associated with participation, while high (4th quartile) EHE (PR 0.84; 95% CI, 0.73-0.97) was negatively associated.

CONCLUSION

These results suggest that high educational attainment, house ownership, and low EHE were positive factors for participation in health examinations among those aged 65-74 years.

摘要

背景

本研究利用具有代表性的日本人群，调查了社会经济因素与日本国民健康保险（NHI）健康检查参与之间的关系。

方法

我们使用了 NIPPON DATA2010 和综合生活状况调查 2010 的链接数据库。将参加 NHI 且年龄在 40-74 岁的参与者纳入分析。将过去一年参加健康检查的患病率比（PR）设为结果。参与者特征，包括性别、年龄、社会经济因素（教育程度、就业、等效家庭支出[EHE]、房屋所有权和婚姻状况）、实验室测量和生活方式，纳入年龄分层修正泊松回归分析，以检查关系。

结果

研究参与者人数为 812 人，其中 564 人（69.5%）在过去一年中参加了健康检查。在 40-64 岁年龄组中，社会经济因素的 PR 没有显著差异。在 65-74 岁年龄组中，高（≥13 年）教育程度（调整后的 PR，1.22；95%置信区间[CI]，1.05-1.41）和房屋所有权（PR 1.40；95%CI，1.11-1.77）与参与呈正相关，而高（第 4 四分位数）EHE（PR 0.84；95%CI，0.73-0.97）呈负相关。

结论

这些结果表明，高教育程度、房屋所有权和低 EHE 是 65-74 岁人群参加健康检查的积极因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d672/5825691/23b238a77b65/je-28-S053-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d672/5825691/23b238a77b65/je-28-S053-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d672/5825691/23b238a77b65/je-28-S053-g001.jpg

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Data Resource Profile: The Japan National Health and Nutrition Survey (NHNS).
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