TY - JOUR
T1 - Factors related to participation in health examinations for Japanese national health insurance
T2 - NIPPON DATA2010
AU - NIPPON DATA2010 Research Group
AU - Imamura, Haruhiko
AU - Kogure, Mana
AU - Kita, Yoshikuni
AU - Nakagawa, Hideaki
AU - Hozawa, Atsushi
AU - Okamura, Tomonori
AU - Murakami, Yoshitaka
AU - Nishi, Nobuo
AU - Okuda, Nagako
AU - Kadota, Aya
AU - Ohkubo, Takayoshi
AU - Ueshima, Hirotsugu
AU - Okayama, Akira
AU - Miura, Katsuyuki
N1 - Funding Information:
Funding sources: This study was supported by Health and Labour Sciences Research Grants of the Ministry of Health, Labour and Welfare, Japan (Comprehensive Research on Life-Style Related Diseases including Cardiovascular Diseases and Diabetes Mellitus [H22-Junkankitou-Seishuu-Sitei-017, H25-Junkankitou-Seishuu-Sitei-022]). Conflicts of interest: None declared.
Funding Information:
1Department of Environmental and Occupational Health, School of Medicine, Toho University, Tokyo, Japan 2Department of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku University, Miyagi, Japan 3Faculty of Nursing Science, Tsuruga Nursing University, Fukui, Japan 4Medical Research Institute, Kanazawa Medical University, Ishikawa, Japan 5Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan 6Department of Medical Statistics, School of Medicine, Toho University, Tokyo, Japan 7International Center for Nutrition and Information, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan 8Department of Health and Nutrition, University of Human Arts and Sciences, Saitama, Japan 9Center for Epidemiologic Research in Asia, Shiga University of Medical Science, Shiga, Japan 10Department of Public Health, Shiga University of Medical Science, Shiga, Japan 11Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan 12Research Institute of Strategy for Prevention, Tokyo, Japan
Funding Information:
This study was supported by Health and Labour Sciences Research Grants of the Ministry of Health, Labour and Welfare, Japan (Comprehensive Research on LifeStyle Related Diseases including Cardiovascular Diseases and Diabetes Mellitus [H22-Junkankitou-Seishuu-Sitei-017, H25-Junkankitou-Seishuu-Sitei-022]).
Publisher Copyright:
© 2018 Haruhiko Imamura et al.
PY - 2018
Y1 - 2018
N2 - 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.
AB - 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.
KW - Health examination
KW - Japanese National Health Insurance
KW - NIPPON DATA2010
UR - http://www.scopus.com/inward/record.url?scp=85049254339&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85049254339&partnerID=8YFLogxK
U2 - 10.2188/jea.JE20170251
DO - 10.2188/jea.JE20170251
M3 - Article
C2 - 29503387
AN - SCOPUS:85049254339
SN - 0917-5040
VL - 28
SP - S53-S58
JO - Journal of epidemiology
JF - Journal of epidemiology
ER -