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Original Articles
The association between the socioeconomic deprivation level and ischemic heart disease mortality in Japan: an analysis using municipality-specific data
Tasuku Okui, Tetsuya Matoba, Naoki Nakashima
Epidemiol Health. 2022;44:e2022059.   Published online July 14, 2022
DOI: https://doi.org/10.4178/epih.e2022059
  • 10,660 View
  • 410 Download
  • 2 Web of Science
  • 2 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
Geographical variation in the standardized mortality ratio (SMR) for ischemic heart disease (IHD) among municipalities has not been assessed in Japan. Additionally, associations between area-level socioeconomic deprivation indices and IHD mortality have not been identified in Japan. The present study investigated this association.
METHODS
Information on IHD mortality was extracted from Vital Statistics data from 2018 to 2020 for each municipality in Japan. The socioeconomic deprivation level was derived from multiple socioeconomic characteristics. We classified municipalities into quintiles based on the deprivation level and investigated the association between the deprivation level and the SMR of IHD. Additionally, a Bayesian spatial regression model was used to investigate this association, adjusting for other municipal characteristics.
RESULTS
Geographical variation in the SMR of IHD was revealed, and municipalities with high SMRs were spatially clustered. There was a weak negative correlation between the socioeconomic deprivation level and the SMRs (correlation coefficient, -0.057 for men and -0.091 for women). In contrast, the regression analysis showed a statistically significant positive association between deprived areas and the IHD mortality rate, and the relative risks for the most deprived municipalities compared with the least deprived municipalities were 1.184 (95% credible interval [CrI], 1.110 to 1.277) and 1.138 (95% CrI, 1.048 to 1.249) for men and women, respectively.
CONCLUSIONS
A weak negative correlation between the socioeconomic deprivation level and the SMR was observed in the descriptive analysis, while the regression analysis showed that living in deprived areas was statistically positively associated with the IHD mortality rate.
Summary
Key Message
We investigated associations between area-level socioeconomic deprivation indices and IHD mortality in Japan using the Vital Statistics data, and a spatial regression analysis showed that living in deprived areas was statistically positively associated with the IHD mortality rate.

Citations

Citations to this article as recorded by  
  • Area deprivation and premature cardiovascular mortality: a nationwide population-based study in South Korea
    Eunji Kim, Hokyou Lee, Donald Lloyd-Jones, Young Gyu Ko, Byoung Gwon Kim, Hyeon Chang Kim
    BMJ Public Health.2024; 2(1): e000877.     CrossRef
  • Material and social deprivation associated with public health actual causes of death among older people in Europe: longitudinal and multilevel results from the Survey of Health, Ageing and Retirement in Europe (SHARE)
    Matthias Hans Belau
    Frontiers in Public Health.2024;[Epub]     CrossRef
An age-period-cohort analysis of the difference in smoking prevalence between urban and non-urban areas in Japan (2004–2019)
Tasuku Okui
Epidemiol Health. 2020;42:e2020072.   Published online December 1, 2020
DOI: https://doi.org/10.4178/epih.e2020072
  • 13,718 View
  • 233 Download
  • 15 Web of Science
  • 15 Crossref
AbstractAbstract PDFSupplementary Material
Abstract
OBJECTIVES
This study aimed to conduct an age-period-cohort (APC) analysis of smoking prevalence trends in urban and non-urban areas in Japan.
METHODS
Data on smoking prevalence from 2004 to 2019 were extracted from the Comprehensive Survey of Living Conditions in Japan. Government ordinance-designated cities and special wards in Tokyo were defined as urban areas. The respondents ranged from 20 years to 79 years old, and were grouped in 5-year intervals. Cohorts were defined for each age group of each year, and those born between 1925-1929 and 1995-1999 were examined. We calculated the estimated smoking prevalence for each age, period, and cohort, as well as the smoking prevalence ratio of non-urban areas compared with urban areas from the APC analysis results.
RESULTS
The magnitude of the decrease in the period effect on smoking prevalence was larger in urban areas than in non-urban areas for both men and women. The smoking prevalence ratio for non-urban areas compared with that of urban areas was above 1 for men at most time points, except in the older age groups. In addition, the prevalence ratio between the areas decreased, particularly as age increased. For women, the smoking prevalence ratio in non-urban areas compared to urban areas was below 1 until cohorts born in the 1970s, but the trend reversed thereafter.
CONCLUSIONS
The results of this study suggest that further smoking control and cessation measures are necessary, particularly for older cohorts in urban women and for younger ages in non-urban men.
Summary

Citations

Citations to this article as recorded by  
  • Evaluating trends in cigarette and HTP use in Japan and measurement issues in the National Health and Nutrition Survey
    David T Levy, Mona Issabakhsh, Kenneth E Warner, Alex Liber, Rafael Meza, Michael Cummings
    Tobacco Control.2024; : tc-2023-058526.     CrossRef
  • Factors associated with quitting smoking among males: Findings from Indonesian national health survey
    Diyan Ermawan Effendi, Irfan Ardani, Sri Handayani, Rozana Ika Agustiya, Arief Priyo Nugroho, Oktriyanto Oktriyanto, Astridya Paramita, Deasy Febriyanty, Risqa Novita, Aris Yulianto
    Clinical Epidemiology and Global Health.2024; 28: 101672.     CrossRef
  • Urological cancer statistics on incidence from 1975 to 2019 and mortality from 1958 to 2022 in Japan
    Takeshi Sasaki, Takahiro Higashi, Takahiro Inoue
    International Journal of Clinical Oncology.2024; 29(8): 1088.     CrossRef
  • Estimating the prevalence of and clarifying factors associated with multiple tobacco product use in Japan: a cross-sectional study in 2022
    Takafumi Yamamoto, Hazem Abbas, Upul Cooray, Tetsuji Yokoyama, Takahiro Tabuchi
    Journal of Epidemiology.2024;[Epub]     CrossRef
  • The Global, Regional and National Burden of Pancreatic Cancer Attributable to Smoking, 1990 to 2019: A Systematic Analysis from the Global Burden of Disease Study 2019
    Wenkai Jiang, Caifei Xiang, Yan Du, Xin Li, Wence Zhou
    International Journal of Environmental Research and Public Health.2023; 20(2): 1552.     CrossRef
  • The Usefulness of a Smartphone App–Based Smoking Cessation Program for Conventional Cigarette Users, Heated Tobacco Product Users, and Dual Users: Retrospective Study
    Yuko Noda, Ryuhei So, Misaki Sonoda, Takahiro Tabuchi, Akihiro Nomura
    Journal of Medical Internet Research.2023; 25: e42776.     CrossRef
  • Pancreatic Cancer and its Attributable Risk Factors in East Asia, Now and Future
    Kuiwu Ren, Chunlong Liu, Ziqiang He, Panpan Wu, Jian Zhang, Rui Yang, Tao Cui, Kun Song, Di Cheng, Kui He, Jiangtao Yu
    The Oncologist.2023; 28(11): e995.     CrossRef
  • Relationship between physical activity and perceptions of ageing from the perspective of healthy ageing among older people with frailty with chronic disease: a cross-sectional study
    Yu-Rung Wang, Huan-Fang Lee, Pei-Lun Hsieh, Chia-Hsiu Chang, Ching-Min Chen
    BMC Nursing.2023;[Epub]     CrossRef
  • Regional Differences in the Prevalence of Atopic Dermatitis among Schoolchildren in Japan and Its Associated Factors from 2006 to 2018
    Tasuku Okui, Naoki Nakashima
    Allergies.2022; 2(2): 33.     CrossRef
  • Association of Esophageal Cancer Mortality with Municipal Socioeconomic Deprivation Level in Japan, 2013–2017: An Ecological Study Using Nationwide Data
    Tasuku Okui, Akie Hirata, Naoki Nakashima
    International Journal of Environmental Research and Public Health.2022; 19(9): 5483.     CrossRef
  • Trends in Deaths Attributable to Smoking in China, Japan, United Kingdom, and United States From 1990 to 2019
    Haoyu Wen, Cong Xie, Fang Shi, Yan Liu, Xiaoxue Liu, Chuanhua Yu
    International Journal of Public Health.2022;[Epub]     CrossRef
  • Decreased head circumference at birth associated with maternal tobacco smoke exposure during pregnancy on the Japanese prospective birth cohort study
    Tadashi Shiohama, Aya Hisada, Midori Yamamoto, Kenichi Sakurai, Rieko Takatani, Katsunori Fujii, Naoki Shimojo, Chisato Mori, Michihiro Kamijima, Shin Yamazaki, Yukihiro Ohya, Reiko Kishi, Nobuo Yaegashi, Koichi Hashimoto, Chisato Mori, Shuichi Ito, Zenta
    Scientific Reports.2021;[Epub]     CrossRef
  • An analysis of health inequalities depending on educational level using nationally representative survey data in Japan, 2019
    Tasuku Okui
    BMC Public Health.2021;[Epub]     CrossRef
  • Geographical Differences and Their Associated Factors in Chronic Obstructive Pulmonary Disease Mortality in Japan: An Ecological Study Using Nationwide Data
    Tasuku Okui, Jinsang Park
    International Journal of Environmental Research and Public Health.2021; 18(24): 13393.     CrossRef
  • Trend of asthma prevalence among children based on regional urbanization level in Japan; 2006–2019
    Tasuku Okui
    Environmental Analysis Health and Toxicology.2021; 36(4): e2021027.     CrossRef
Brief Communication
Analysis of the difference in the perinatal mortality rate between white-collar and blue-collar workers in Japan, 1995-2015
Tasuku Okui
Epidemiol Health. 2020;42:e2020069.   Published online November 24, 2020
DOI: https://doi.org/10.4178/epih.e2020069
  • 10,905 View
  • 142 Download
  • 2 Web of Science
  • 1 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
This study investigated differences in the perinatal mortality rate between white-collar and blue-collar workers.
METHODS
Data from the “Report of Vital Statistics: Occupational and Industrial Aspects” in Japan covering the period from 1995 to 2015 were used. Five-year maternal age groups from 15-19 years to 45-49 years were analyzed according to work type, and the perinatal mortality rate for each age group and the age-standardized perinatal mortality rate according to maternal age were calculated in each analyzed year. A Bayesian age-period-cohort analysis was used to estimate age, period, and cohort effects for the perinatal mortality rate according to work type. Moreover, the perinatal mortality rate ratios between types of workers were estimated for each age group, period, and cohort.
RESULTS
The estimated perinatal mortality rate ratios of blue-collar to white-collar workers were above 1 in most of the age groups and cohorts. The age effect for the perinatal mortality rate among white-collar workers was the largest in the 15-year to 19-year age group, whereas that among blue-collar workers was the largest in the 45-year to 49-year age group. Furthermore, the estimated perinatal rate ratio between white-collar and blue-collar workers tended to increase with maternal age. The magnitude of the decrease of the cohort effects on the perinatal mortality rate was rather larger in blue-collar workers in the cohorts born between 1946-1950 and 1996-2000.
CONCLUSIONS
The magnitude of the disparity markedly increased with maternal age. Thus, middle-aged blue-collar workers need more prenatal care and preventive measures for perinatal mortality than white-collar workers.
Summary

Citations

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  • Low blood glucose and fatigue accumulation at peak hours of occupational trauma in secondary industry workers
    Ryunosuke Ishikawa, Rikiya Shirato, Asuka Watanabe, Shinji Matsuoka, Ryousaku Sugihara, Kazushi Kimura
    International Journal of Occupational Safety and Ergonomics.2024; 30(3): 782.     CrossRef
Original Article
Differences in agricultural activities related to incidence of scrub typhus between Korea and Japan
Chang-Jin Ma, Gyung-Jae Oh, Gong-Unn Kang, Jeong Mi Lee, Da-Un Lee, Hae-Sung Nam, So Yeon Ryu, Young-Hoon Lee
Epidemiol Health. 2017;39:e2017051.   Published online November 9, 2017
DOI: https://doi.org/10.4178/epih.e2017051
  • 15,340 View
  • 194 Download
  • 12 Web of Science
  • 11 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
The purpose of this study was to establish a basis for improving or strengthening the preventive strategy against scrub typhus in Korea by comparing and analyzing the difference of prevention behaviors contributing to the occurrence of scrub typhus in Japan and Korea.
METHODS
The survey was carried out in Jeollabuk-do, which is a high risk and high incidence area, and Fukuoka Prefecture, which is a high risk and low incidence area. The study included 406 Korean farmers and 216 Japanese farmers. Data were collected through face-to-face surveys by interviewers who had completed standardized education.
RESULTS
Korean farmers have a higher percentage of agricultural working posture that involved contact with weeds than Japanese farmers (p<0.05). The frequency and proportion of weeding were lower in Korean farmers than in Japanese farmers (p<0.05). The level of knowledge about scrub typhus was significantly higher among Korean farmers than among Japanese farmers (p<0.05). Mostly, the behavior of agriculture work was more appropriate for Japanese farmers than for Korean farmers (p<0.05). The total average level of agricultural work was lower in Korea than in Japan, lower in men than women, and lower in part-time farmers than full-time farmers (p<0.05).
CONCLUSIONS
This study suggests that it is reasonable to develop and provide a program that can improve the level of preventive behavior taking into consideration the characteristics of the subject in order to reduce the incidence of diseases in high-risk areas for scrub typhus.
Summary
Korean summary
이 연구는 쯔쯔가무시증 발생 위험은 공통으로 존재하나 발생률 및 발생 건수에서는 현저한 차이를 나타내는 한·일 농업인들의 털진드기 매개체에 대한 접촉과 관련된 행태나 환경 관리의 차이를 파악하였다. 연구결과 한국은 일본에 비해 환경관리 수준이 낮고, 풀숲과 접촉할 수 있는 농작업 자세를 더 취하고 있었으며, 쯔쯔가무시증에 대한 지식 수준은 높으나 예방행태 수행 수준은 낮았다. 이 연구는 한국의 농업인들의 쯔쯔가무시증 발생을 억제하기 위해서는 예방행태를 향상시킬 수 있는 프로그램 개발과 제공이 필요함을 제시하고 있다.

Citations

Citations to this article as recorded by  
  • Exploring the influencing factors of scrub typhus in Gannan region, China, based on spatial regression modelling and geographical detector
    Kailun Pan, Fen Lin, Hua Xue, Qingfeng Cai, Renfa Huang
    Infectious Disease Modelling.2025; 10(1): 28.     CrossRef
  • Climate influences scrub typhus occurrence in Vellore, Tamil Nadu, India: analysis of a 15-year dataset
    Solomon D’Cruz, Kotamreddy Sreedevi, Cheryl Lynette, Karthik Gunasekaran, John Antony Jude Prakash
    Scientific Reports.2024;[Epub]     CrossRef
  • Exploring the effects and interactions of meteorological factors on the incidence of scrub typhus in Ganzhou City, 2008–2021
    Kailun Pan, Renfa Huang, Lingui Xu, Fen Lin
    BMC Public Health.2024;[Epub]     CrossRef
  • Community engagement around scrub typhus in northern Thailand: a pilot project
    Carlo Perrone, Nipaphan Kanthawang, Phaik Yeong Cheah, Daranee Intralawan, Sue J Lee, Supalert Nedsuwan, Benjarat Fuwongsitt, Tri Wangrangsimakul, Rachel C Greer
    Transactions of The Royal Society of Tropical Medicine and Hygiene.2024; 118(10): 666.     CrossRef
  • Epidemiology, clinical characteristics, diagnosis, and complications of scrub typhus infection in Nepal: a systematic review
    Pratik Lamichhane, Kailash M. Pokhrel, Baraa Alghalyini, Abdul Rehman Zia Zaidi, Maied Z. Alshehery, Kapil Khanal, Madhur Bhattarai, Alisha Yadav
    Annals of Medicine & Surgery.2023; 85(10): 5022.     CrossRef
  • Epidemiological Aspects of Tsutsugamushi Disease (Scrub Typhus) Outbreaks in Republic of Korea and Japan
    Myeong-Jin Lee, Bok Soon Han, Won-Chang Lee, Young Hwan Kwon
    The Korean Journal of Aerospace and Environmental Medicine.2022; 32(2): 65.     CrossRef
  • Ecological and behavioural risk factors of scrub typhus in central Vietnam: a case-control study
    Hanh Thi Duc Tran, Jan Hattendorf, Hung Manh Do, Thanh Tien Hoang, Hang Thi Hai Hoang, Hoa Ngoc Lam, Mai Kim Huynh, Lan Thi Hoang Vu, Jakob Zinsstag, Daniel Henry Paris, Esther Schelling
    Infectious Diseases of Poverty.2021;[Epub]     CrossRef
  • Orientia tsutsugamushi dynamics in vectors and hosts: ecology and risk factors for foci of scrub typhus transmission in northern Thailand
    Ivo Elliott, Neeranuch Thangnimitchok, Kittipong Chaisiri, Tri Wangrangsimakul, Piangnet Jaiboon, Nicholas P. J. Day, Daniel H. Paris, Paul N. Newton, Serge Morand
    Parasites & Vectors.2021;[Epub]     CrossRef
  • The estimated burden of scrub typhus in Thailand from national surveillance data (2003-2018)
    Tri Wangrangsimakul, Ivo Elliott, Supalert Nedsuwan, Rawadee Kumlert, Soawapak Hinjoy, Kittipong Chaisiri, Nicholas P. J. Day, Serge Morand, Husain Poonawala
    PLOS Neglected Tropical Diseases.2020; 14(4): e0008233.     CrossRef
  • Deforestation Increases the Risk of Scrub Typhus in Korea
    Kyung-Duk Min, Ju-Yeun Lee, Yeonghwa So, Sung-il Cho
    International Journal of Environmental Research and Public Health.2019; 16(9): 1518.     CrossRef
  • Scrub typhus ecology: a systematic review of Orientia in vectors and hosts
    Ivo Elliott, Isabelle Pearson, Prabin Dahal, Nigel V. Thomas, Tamalee Roberts, Paul N. Newton
    Parasites & Vectors.2019;[Epub]     CrossRef
Health Statistics
Changing trends in colorectal cancer in the Republic of Korea: contrast with Japan
Minjoo Yoon, Nicholas Kim, Byungho Nam, Jungnam Joo, Moran Ki
Epidemiol Health. 2015;37:e2015038.   Published online August 17, 2015
DOI: https://doi.org/10.4178/epih/e2015038
  • 25,073 View
  • 317 Download
  • 19 Web of Science
  • 17 Crossref
AbstractAbstract AbstractSummary PDF
Abstract
Colorectal cancer has a high worldwide incidence. Japan, a country that is geographically and culturally similar to the Republic of Korea (here after Korea), has recently reported a decreasing trend in the incidence of colorectal cancer. However, Korea had the highest incidence of colorectal cancer among Asian countries in 2012. Our aim was to observe the changing trends in incidence and mortality of colorectal cancer in Korea and to compare them to those in Japan. Incidence data were collected from the Korean Central Cancer Registry and mortality data were collected from Korean Statistical Information Service. Incidence and mortality data on colorectal cancer in Japan were acquired from the National Cancer Center in Japan. Age-standardized incidence and mortality rates were determined based on Segi’s world population. Screening data from both countries were collected from the national cancer center in each country. In Korea, the age-standardized incidence rate of colorectal cancer in both sexes was 20.9 to 38.0 per 100,000 from 1999 to 2012 and the rate in males increased more dramatically than in females. In addition, the increase between 2002 and 2012 was first observed in the age group over 40. In Japan, the incidence of colorectal cancer has been more constant over recent years than in Korea. The age-standardized mortality rate of colorectal cancer in both sexes in Korea was 8.5 to 9.3 per 100,000 from 2000 to 2013, and the trend in mortality was constant during this period. In Japan, the mortality rate decreased slightly during the same period. Crude screening rates were increased overall in both Korea and Japan during the period studied. Since the incidence of colorectal cancer has increased in Korea, the control of this cancer is an important public health issue. As Japan has achieved a reduction in colorectal cancer, adjustment of Korea’s current systems for screening and treatment of colorectal cancer according to those of Japan may contribute to improved colorectal cancer control in Korea.
Summary
Korean summary
우리나라와 지리적, 문화적으로 가까운 일본은 대장암 발생 및 사망이 감소하고 있는 반면, 한국의 대장암 발생은 증가하는 추세이다. 본 연구는 한국의 대장암 발생 및 사망의 경향을 관찰하고, 이를 일본의 경우와 비교하고자 한다

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  • Self-expandable metallic stents as a bridge to surgery in obstructive right- and left-sided colorectal cancer: a multicenter cohort study
    Eui Myung Kim, Jun Ho Park, Byung Chun Kim, Il Tae Son, Jeong Yeon Kim, Jong Wan Kim
    Scientific Reports.2023;[Epub]     CrossRef
  • A systematic review of methods to estimate colorectal cancer incidence using population-based cancer registries
    Norah Alsadhan, Alaa Almaiman, Mar Pujades-Rodriguez, Cathy Brennan, Farag Shuweihdi, Sultana A. Alhurishi, Robert M. West
    BMC Medical Research Methodology.2022;[Epub]     CrossRef
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    Jitendra Shrestha, Maftuna Shamshiddinova, Yong-Moon Lee, Yoon Sin Oh, Dong Jae Baek, Eun-Young Park
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    Frontiers in Oncology.2022;[Epub]     CrossRef
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    Ruo-lin Huang, Qi Liu, Ying-xin Wang, Jin-yu Zou, Li-feng Hu, Wen Wang, Ying-hui Huang, Yi-zhuo Wang, Bo Zeng, Xi Zeng, Ying Zeng
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    Ji Eun Yoon, Soo Young Lee, Han Duk Kwak, Seung Seop Yeom, Chang Hyun Kim, Jae Kyun Joo, Hyeong Rok Kim, Young Jin Kim
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    Hyun-Young Shin, Ji-Youn Lee, Jee-Eun Kim, Seokmin Lee, Heejo Youn, Heyran Kim, Jeonghun Lee, Min Sim Park, Sun Huh
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Review
An epidemiologic review of Japanese Encephalitis with a special focus on incidence and methods of control for South Korea.
Hee choul Ohrr, Sang Wook Lee, Jae Seok Hong
Korean J Epidemiol. 2005;27(1):69-80.
  • 65,535 View
  • 33 Download
AbstractAbstract PDF
Abstract
Japanese encephalitis(JE) is the leading viral cause of encephalitis and disability in Asia. The disease primarily infects children under the age of 15, leaving up to 70% of these who develop illness either dead or with a long-term neurological disability. We reviewed not only JE disease burden, etiology, vector, mode of transmission, reservoir but also geographic distribution and incidence of the disease in Asia, with a focus on the South Korea. A special comment on the methods of control JE and perspective for South Korea also included.
Summary
Epidemiol Health : Epidemiology and Health
© Korean Society of Epidemiology.
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