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mechanisms and regulation of socioeconomic disparities in health among the elderly

Research Project

Project/Area Number 18H03651
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section一般
Review Section Medium-sized Section 8:Sociology and related fields
Research InstitutionJ. F. Oberlin University

Principal Investigator

Sugisawa Hidehiro  桜美林大学, 大学院 国際学術研究科, 教授 (60201571)

Co-Investigator(Kenkyū-buntansha) 原田 謙  実践女子大学, 人間社会学部, 教授 (40405999)
杉原 陽子 (杉澤 陽子 / 杉原陽子)  東京都立大学, 都市環境科学研究科, 教授 (80311405)
柳沢 志津子  徳島大学, 大学院医歯薬学研究部(歯学域), 講師 (10350927)
新名 正弥  田園調布学園大学, 人間福祉学部, 准教授 (70312288)
北島 洋美  日本体育大学, 体育学部, 教授 (00614439)
Project Period (FY) 2018-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥30,810,000 (Direct Cost: ¥23,700,000、Indirect Cost: ¥7,110,000)
Fiscal Year 2022: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2021: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2020: ¥13,520,000 (Direct Cost: ¥10,400,000、Indirect Cost: ¥3,120,000)
Fiscal Year 2019: ¥8,320,000 (Direct Cost: ¥6,400,000、Indirect Cost: ¥1,920,000)
Fiscal Year 2018: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords社会経済階層 / ライフコース / 高齢者 / 健康 / メカニズム / 医療福祉従事者 / コホート効果 / 社会階層 / 介護サービス / パネル研究 / 透析患者 / 媒介要因 / 保健行動 / ステレオタイプ / 社会階層移動 / 介護サービス提供者
Outline of Final Research Achievements

This study elucidated the mechanisms of health disparities by socioeconomic status (SES) in older adults. As a result of the analyses, the following points were clarified. (1) the mediational influences of psychosocial factors, (2) the direct effects and pathway effects of parental SES, and older adult’s educational attainments, occupation, and income, (3) birth cohort differences in influences of SES on health, (4) uniqueness of housing status different from educational attainment and income, (5) the influences of SES on worse of symptoms in patients with chronic diseases, and (6) the difficulty of service providers in dealing with the poor older adults.

Academic Significance and Societal Importance of the Research Achievements

社会階層による健康格差については、日本では高齢者を対象とした研究が少ない。さらに、社会階層の健康影響に関する研究を発展させていくには、その存在の記述だけでなく、以下のような課題を設定し、解明する必要がある。①社会階層が高齢者の健康に与える影響のメカニズム、②高齢者において特に重要な視点となるライフコース上における社会階層の影響、③社会階層の健康影響のコホートによる差、④高齢期に多く罹患する慢性疾患罹患後の予後に対する社会階層の影響、⑤高齢貧困者に対する医療福祉従事者の認識と対応。しかし、以上の課題の解明は、欧米においても少ない。本研究では、課題を取り上げ解明を試みた。

Report

(6 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Annual Research Report
  • 2020 Annual Research Report
  • 2019 Annual Research Report
  • 2018 Annual Research Report
  • Research Products

    (45 results)

All 2023 2022 2021 2020 2019 2018 Other

All Journal Article (21 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 18 results,  Open Access: 6 results) Presentation (18 results) (of which Int'l Joint Research: 2 results,  Invited: 2 results) Book (2 results) Remarks (4 results)

  • [Journal Article] Psychosocial mediators between socioeconomic status and oral health among urban-dwelling older adults2023

    • Author(s)
      Yanagisawa, S., Sugisawa, H., Harada, K., & Sugihara, Y.
    • Journal Title

      Nihon Koshu Eisei Zasshi(JAPANESE JOURNAL OF PUBLIC HEALTH)

      Volume: 70 Issue: 7 Pages: 433-441

    • DOI

      10.11236/jph.22-100

    • ISSN
      0546-1766, 2187-8986
    • Year and Date
      2023-07-15
    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Trends in informal and formal home help use among older adults with disabilities in Japan: from 1999 to 2017.2023

    • Author(s)
      Sugisawa, H., Sugihara, Y., Kobayashi, E., Fukaya, T., & Liang, J.
    • Journal Title

      International Journal of Social Welfare

      Volume: なし Issue: 1 Pages: 220-236

    • DOI

      10.1111/ijsw.12596

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Influence of dialysis‐related stigma on health‐related indicators in Japanese patients undergoing hemodialysis2023

    • Author(s)
      Sugisawa Hidehiro、Shimizu Yumiko、Kumagai Tamaki、Shishido Kanji、Koda Yutaka、Shinoda Toshio
    • Journal Title

      Therapeutic Apheresis and Dialysis

      Volume: - Issue: 5 Pages: 855-865

    • DOI

      10.1111/1744-9987.13992

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 「通いの場」を利用する高齢者のソーシャル・キャピタルが主観的Well-Beingに及ぼす影響2023

    • Author(s)
      柳沢志津子,高橋舞,杉澤秀博
    • Journal Title

      老年学雑誌

      Volume: (13) Pages: 34-45

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 高齢者の職業生活の 20 年間の変化: 高齢者の雇用延長政策による影響はあるのか?2022

    • Author(s)
      杉澤秀博
    • Journal Title

      中央調査報

      Volume: (782) Pages: 6857-6861

    • Related Report
      2022 Annual Research Report
    • Open Access
  • [Journal Article] Psychosocial predictors of young male workers’ discrimination against older workers in Japan: comparison of four models2022

    • Author(s)
      Sugisawa Hidehiro
    • Journal Title

      Ageing and Society

      Volume: - Issue: 3 Pages: 1-26

    • DOI

      10.1017/s0144686x22000289

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Big Five Personality Traits, Social Networks, and Depression Among Older Adults in Japan: A Multiple Mediation Analysis.2022

    • Author(s)
      Harada, K., Sugisawa, H., Sugihara, Y., Yanagisawa, S., & Shimmei, M.
    • Journal Title

      The International Journal of Aging and Human Development

      Volume: - Issue: 1 Pages: 111-128

    • DOI

      10.1177/00914150221109893

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Influences of financial strains over the life course before initiating hemodialysis on health outcomes among older Japanese patients: A retrospective study in Japan2022

    • Author(s)
      Sugisawa, H., Shimizu, Y., Kumagai, T., Shishido, K., Shinoda, T
    • Journal Title

      International Journal of Nephrology and Renovascular Disease

      Volume: 15 Pages: 1013-1013

    • DOI

      10.2147/ijnrd.s352174

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Sugisawa H, Harada K, Sugihara Y, Yanagisawa S, Shinmei M。Mediators of Life-Course and Late-Life Financial Strain on Late-Life Health in Japan: Based on a Cross-Sectional Survey2022

    • Author(s)
      Sugisawa H, Harada K, Sugihara Y, Yanagisawa S, Shinmei M
    • Journal Title

      Journal of Multidisciplinary Healthcare

      Volume: 15 Pages: 883-896

    • DOI

      10.2147/jmdh.s356760

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Discordance between hemodialysis patients' reports and their physicians' estimates of adherence to dietary restrictions in Japan2022

    • Author(s)
      Sugisawa H, Shimizu Y, Kumagai T, Shinoda T, Shishido K, Koda Y.
    • Journal Title

      Therapeutic Apheresis and Dialysis

      Volume: Apr 14 Issue: 6 Pages: 0-0

    • DOI

      10.1111/1744-9987.13852

    • Related Report
      2021 Annual Research Report
  • [Journal Article] Mediators and Moderators of the Influences of Living Alone on Psychological Distress Among Japanese Older Adults2020

    • Author(s)
      Sugisawa Hidehiro、Sugihara Yoko
    • Journal Title

      Family & Community Health

      Volume: 43 Issue: 4 Pages: 313-322

    • DOI

      10.1097/fch.0000000000000256

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Social networks' health habits over life course and late-life health habits.2020

    • Author(s)
      Sugisawa, H., Harada, K., Sugihara, Y., Yanagisawa, S., & Shimmei, M.
    • Journal Title

      American Journal of Health Behavior

      Volume: 44 Issue: 1 Pages: 100-117

    • DOI

      10.5993/ajhb.44.1.11

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Health, psychological, social and environmental mediators between socio-economic inequalities and participation in exercise among elderly Japanese.2019

    • Author(s)
      Sugisawa, H., Harada, K., Sugihara, Y., Yanagisawa, S., & Shinmei, M.
    • Journal Title

      Ageing & Society

      Volume: - Issue: 7 Pages: 1594-1612

    • DOI

      10.1017/s0144686x1900014x

    • Related Report
      2020 Annual Research Report 2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Time perspectives as mediators of the associations between socio-economic status and health behaviours in older Japanese adults.2019

    • Author(s)
      Sugisawa, H., Harada, K., Sugihara, Y., Yanagisawa, S., & Shimmei, M.
    • Journal Title

      Psychology & health

      Volume: - Issue: 8 Pages: 1000-1016

    • DOI

      10.1080/08870446.2019.1686505

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Caregiving for older adults requiring hemodialysis: A comparison study.2019

    • Author(s)
      Sugisawa, H., Shinoda, T., Shimizu, Y., Kumagai, T., Sugisaki, H., & Sugihara, Y.
    • Journal Title

      Therapeutic Apheresis and Dialysis.

      Volume: - Issue: 4 Pages: 423-430

    • DOI

      10.1111/1744-9987.13453

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Long-term care preference among Japanese older adults: Differences by age, period and cohort2019

    • Author(s)
      Sugisawa, H., Sugihara,Y., Nakatani, Y.
    • Journal Title

      Ageing & Society

      Volume: なし Issue: 6 Pages: 1309-1333

    • DOI

      10.1017/s0144686x1800171x

    • Related Report
      2020 Annual Research Report 2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Psychosocial mediators between socioeconomic status and dietary restrictions among patients receiving hemodialysis in Japan2019

    • Author(s)
      Sugisawa, H, Shinoda, T., Shimizu, Y., Kumagai, T., Sugisaki, H.
    • Journal Title

      International Journal of Nephrology

      Volume: 2019 Pages: 7647356-7647356

    • DOI

      10.1155/2019/7647356

    • Related Report
      2019 Annual Research Report 2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 高齢者自身と同質的なメンバーで構成される地域組織への参加要因 : 高齢者と地域組織の特徴に着目して2019

    • Author(s)
      柳沢志津子,杉澤秀博,原田謙,杉原陽子
    • Journal Title

      応用老年学

      Volume: 13 Pages: 27-36

    • NAID

      40022028182

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The Influence of life course financial strains on the later-life health of the Japanese as assessed by four models based on different health indicators2018

    • Author(s)
      Sugisawa H, Sugihara Y, Kobayashi E, Fukaya T, Liang J
    • Journal Title

      Ageing & Society

      Volume: - Issue: 12 Pages: 1-22

    • DOI

      10.1017/s0144686x18000673

    • Related Report
      2019 Annual Research Report 2018 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Perceived age discrimination and job satisfaction among older employed men in Japan2018

    • Author(s)
      Harada, K., Sugisawa, H., Sugihara, Y., Yanagisawa, S., Shimmei, M.
    • Journal Title

      The International Journal of Aging and Human Development

      Volume: なし Issue: 3 Pages: 294-310

    • DOI

      10.1177/0091415018811100

    • Related Report
      2019 Annual Research Report 2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 高齢者における健康格差研究のリサーチ・クエスチョン : 社会階層に着目して2018

    • Author(s)
      杉澤 秀博
    • Journal Title

      老年社会科学

      Volume: 40 Pages: 59-66

    • NAID

      40021558400

    • Related Report
      2018 Annual Research Report
  • [Presentation] The association between performing medical/nursing tasks at home for older adults and caregiver well-being: The moderation effect of support2023

    • Author(s)
      Yoko Sugihara
    • Organizer
      22nd World Congress of Gerontology and Geriatrics
    • Related Report
      2022 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 中高年男性による職場における年齢差別の評価に影響するミクロ・メゾ・マクロ要因2022

    • Author(s)
      杉澤秀博、原田謙、杉原陽子、柳沢志津子、新名正弥
    • Organizer
      日本老年社会科学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 集学的老年学と学際的老年学2022

    • Author(s)
      杉澤秀博
    • Organizer
      日本老年社会科学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 「老年社会科学」はいま何を意識すべきなのか?;学際的研究を再考する2022

    • Author(s)
      原田謙
    • Organizer
      日本老年社会科学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 「通いの場」に参加する高齢者の満足感とソーシャル・キャピタルとの関連2022

    • Author(s)
      柳沢志津子、高橋舞、杉澤秀博
    • Organizer
      日本老年社会科学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 要介護認定者における介護保険サービスの未充足ニーズの状況と関連要因2022

    • Author(s)
      杉原陽子
    • Organizer
      日本老年社会科学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 介護保険サービスの自己負担割合増額が利用者の負担感とサービス利用に及ぼす影響2022

    • Author(s)
      杉原陽子
    • Organizer
      日本公衆衛生学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 新型コロナウィルス禍における過疎地域の家族介護者のACPに対する認知度2022

    • Author(s)
      金貞任、杉原陽子、藤田幸司
    • Organizer
      日本老年社会科学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] ネガティブな被養育経験を有する母親に対する保健師の支援プロセス2022

    • Author(s)
      並木陽子、杉原陽子
    • Organizer
      日本公衆衛生学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 高齢透析患者の身体的・精神的健康に与える透析導入前のライフコース上の経済的困窮の影響2021

    • Author(s)
      杉澤秀博,清水由美子,熊谷たまき
    • Organizer
      日本老年社会科学会
    • Related Report
      2021 Annual Research Report
  • [Presentation] ライスコース上の経済的困窮が高齢期の健康に与える影響のメカニズム2020

    • Author(s)
      杉澤秀博,原田謙,杉原陽子,柳沢志津子,新名正弥
    • Organizer
      日本老年社会科学会
    • Related Report
      2020 Annual Research Report
  • [Presentation] ライフコース上の社会経済階層の高齢期の健康に対する影響:若年・中年期および時期による差異2019

    • Author(s)
      杉澤秀博,他
    • Organizer
      日本老年社会科学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 高齢者にとって住みよい社会的・物理的な環境とは何か;高齢者の生活環境を考える2019

    • Author(s)
      杉澤秀博
    • Organizer
      日本応用老年学会大会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] Socioeconomic Status Disparities in Late-Life Health in Japan2019

    • Author(s)
      Sugisawa, H.
    • Organizer
      Global Symposium on Ageing and Low Fertility
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] 高齢者における時間的展望、社会階層、健康習慣の関連2018

    • Author(s)
      杉澤秀博、原田謙、杉原陽子
    • Organizer
      日本公衆衛生学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 中卒男性高齢者における運動習慣の未実施に至るプロセス2018

    • Author(s)
      杉澤秀博、柳沢志津子、原田謙、杉原陽子、新名正弥
    • Organizer
      日本老年社会科学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Job demands, coping resources, and job satisfaction among older employed men in Japan2018

    • Author(s)
      Harada, K., Sugisawa, H., Sugihara, Y., Yanagisawa, S., Shimmei, M.
    • Organizer
      The Gerontological Society of America
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 社会的不利の中で口腔保健行動を獲得・定着するプロセス2018

    • Author(s)
      柳沢志津子、杉澤秀博、原田謙、杉原陽子、新名正弥
    • Organizer
      日本社会福祉学会
    • Related Report
      2018 Annual Research Report
  • [Book] 老年学を学ぶ:高齢社会の学際的研究2021

    • Author(s)
      杉澤秀博,長田久雄,渡辺修一郎,中谷陽明
    • Total Pages
      318
    • Publisher
      桜美林大学出版会
    • ISBN
      4846020789
    • Related Report
      2021 Annual Research Report
  • [Book] 「幸福な老い」と世代間関係: 職場と地域におけるエイジズム調査分析2020

    • Author(s)
      原田 謙
    • Total Pages
      195
    • Publisher
      勁草書房
    • ISBN
      4326603305
    • Related Report
      2020 Annual Research Report
  • [Remarks] 高齢者における健康の社会階層格差のメカニズムとその制御要因の解明

    • URL

      http://age-inequality.jp/performance.html

    • Related Report
      2022 Annual Research Report
  • [Remarks] 透析医療研究会

    • URL

      http://touseki-iryou.jp/

    • Related Report
      2022 Annual Research Report
  • [Remarks] 高齢者における健康の社会階層格差のメカニズムとその制御要因の解明

    • URL

      http://age-inequality.jp/

    • Related Report
      2021 Annual Research Report 2020 Annual Research Report 2019 Annual Research Report
  • [Remarks] 高齢者における健康の社会階層格差のメカニズムと制御要因の解明

    • URL

      http://age-inequality.jp/

    • Related Report
      2018 Annual Research Report

URL: 

Published: 2018-04-23   Modified: 2024-01-30  

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