Kagamimori S, Matsubara I, Sokejima S, Sekine M, Matsukura T, Nakagawa H, Naruse Y
Department of Welfare Promotion and Epidemiology, Faculty of Medicine, Toyama Medical and Pharmaceutical University, Japan.
Ind Health. 1998 Jul;36(3):252-7. doi: 10.2486/indhealth.36.252.
Age-adjusted standardized mortality ratios (SMRs) and life tables in male occupational groups for all causes and major diseases such as malignant neoplasm of stomach and lung, cerebrovascular disease, ischemic heart disease, traffic accidents and suicide was compared between Japan and Great Britain. Except for traffic accidents and suicide, males in higher employment grades had lower SMRs which had also been found to be related to other social class indicators such as perinatal death rate, the frequency of work absence and current smoker's rate. Occupational differences in mortality rates for major diseases became smaller with advancing age in Great Britain but not necessarily in Japan. The present authors concluded that inequalities in socio-economical factors were more likely to be the primary factors for survival, and that selection such as occupation and occupation-related lifestyle might still be an important factor for the inequalities. These inequalities were more obvious in Japan, where a life expectancy was, however, best in the world.
比较了日本和英国男性职业群体中所有原因以及胃癌、肺癌、脑血管疾病、缺血性心脏病、交通事故和自杀等主要疾病的年龄调整标准化死亡率（SMR）和生命表。除交通事故和自杀外，就业等级较高的男性SMR较低，这也被发现与围产期死亡率、缺勤频率和当前吸烟者率等其他社会阶层指标有关。在英国，随着年龄增长，主要疾病死亡率的职业差异变小，但在日本不一定如此。作者得出结论，社会经济因素的不平等更可能是生存的主要因素，而职业和与职业相关的生活方式等选择可能仍是不平等的一个重要因素。这些不平等在日本更为明显，然而日本的预期寿命却是世界上最高的。
