| Project/Area Number |
21406022
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| Research Category |
Grant-in-Aid for Scientific Research (B)
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| Allocation Type | Single-year Grants |
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| Section | 海外学術 |
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| Research Field |
Public health/Health science
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| Research Institution | Tokyo Medical and Dental University |
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Principal Investigator |
NAKAMURA Keiko 東京医科歯科大学, 大学院・医歯学総合研究科, 准教授 (00211433)
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| Co-Investigator(Kenkyū-buntansha) |
SEINO Kaoruko 東京医科歯科大学, 大学院・医歯学総合研究科, 講師 (10508336)
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| Project Period (FY) |
2009 – 2011
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| Project Status |
Completed (Fiscal Year 2011)
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| Budget Amount *help |
¥15,340,000 (Direct Cost: ¥11,800,000、Indirect Cost: ¥3,540,000)
Fiscal Year 2011: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2010: ¥5,850,000 (Direct Cost: ¥4,500,000、Indirect Cost: ¥1,350,000)
Fiscal Year 2009: ¥5,330,000 (Direct Cost: ¥4,100,000、Indirect Cost: ¥1,230,000)
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| Keywords | 健康格差 / 国際保健 / 健康決定要因 / 社会経済水準 / 社会医学 |
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| Research Abstract |
The existence of social gradients in health has been reported in recent years. In developing countries, where access to healthcare, availability of nutritious food, living conditions vary, differences across social class in health status, lifestyles, and healthcare use had not been elucidated. Health promotion interventions sometimes widen disparities of health between rich and poor. The objective of this study was to investigate social gradients in health of children in developing countries. Examination on height and weight of under 5 year old children, smoking behavior, healthcare of tuberculosis patients, and morbidity and treatment of Rickets revealed different patterns according to the countries. In the areas the social gradients in health exist, general health promotion intervention did not contribute to reduce the gap between the rich and poor. Equity in health, lifestyles, access to healthcare services should be addressed to all age groups and gender. The association between health status or behavior and social class varied by countries. Gradients in health by age, gender, and area of residence should be considered to develop interventions.
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