Factors Related to Participation in Health Examinations for Japanese National Health Insurance

NIPPON DATA2010

Haruhiko Imamura, Mana Kogure, Yoshikuni Kita, Hideaki Nakagawa, Atsushi Hozawa, Tomonori Okamura, Yoshitaka Murakami, Nobuo Nishi, Nagako Okuda, Aya Kadota, Takayoshi Ohkubo, Hirotsugu Ueshima, Akira Okayama, Katsuyuki Miura

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)S53-S58
JournalJournal of Epidemiology
Volume28
DOIs
Publication statusPublished - 2018 Jan 1

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National Health Programs
Ownership
Health Expenditures
Health
Confidence Intervals
Age Factors
Social Conditions
Marital Status
Sex Characteristics
Life Style
Regression Analysis
Databases
Population

Keywords

  • health examination
  • Japanese National Health Insurance
  • NIPPON DATA2010

ASJC Scopus subject areas

  • Epidemiology

Cite this

Factors Related to Participation in Health Examinations for Japanese National Health Insurance : NIPPON DATA2010. / Imamura, Haruhiko; Kogure, Mana; Kita, Yoshikuni; Nakagawa, Hideaki; Hozawa, Atsushi; Okamura, Tomonori; Murakami, Yoshitaka; Nishi, Nobuo; Okuda, Nagako; Kadota, Aya; Ohkubo, Takayoshi; Ueshima, Hirotsugu; Okayama, Akira; Miura, Katsuyuki.

In: Journal of Epidemiology, Vol. 28, 01.01.2018, p. S53-S58.

Research output: Contribution to journalArticle

Imamura, H, Kogure, M, Kita, Y, Nakagawa, H, Hozawa, A, Okamura, T, Murakami, Y, Nishi, N, Okuda, N, Kadota, A, Ohkubo, T, Ueshima, H, Okayama, A & Miura, K 2018, 'Factors Related to Participation in Health Examinations for Japanese National Health Insurance: NIPPON DATA2010', Journal of Epidemiology, vol. 28, pp. S53-S58. https://doi.org/10.2188/jea.JE20170251
Imamura, Haruhiko ; Kogure, Mana ; Kita, Yoshikuni ; Nakagawa, Hideaki ; Hozawa, Atsushi ; Okamura, Tomonori ; Murakami, Yoshitaka ; Nishi, Nobuo ; Okuda, Nagako ; Kadota, Aya ; Ohkubo, Takayoshi ; Ueshima, Hirotsugu ; Okayama, Akira ; Miura, Katsuyuki. / Factors Related to Participation in Health Examinations for Japanese National Health Insurance : NIPPON DATA2010. In: Journal of Epidemiology. 2018 ; Vol. 28. pp. S53-S58.
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AU - Nakagawa, Hideaki

AU - Hozawa, Atsushi

AU - Okamura, Tomonori

AU - Murakami, Yoshitaka

AU - Nishi, Nobuo

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AU - Kadota, Aya

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AU - Ueshima, Hirotsugu

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