International Comparisons of Socioeconomic Inequalities in Health: Explanations from Psychosocial Stress at Work and Lifestyle Factors

• Project/Area Number: 24590787
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Public health/Health science
• Research Institution: University of Toyama
• Principal Investigator: Sekine Michikazu 富山大学, 大学院医学薬学研究部(医学), 教授 (30303225)
• Project Period (FY): 2012-04-01 – 2018-03-31
• Project Status: Completed (Fiscal Year 2017)
• Budget Amount: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000); Fiscal Year 2016: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000); Fiscal Year 2015: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000); Fiscal Year 2014: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000); Fiscal Year 2013: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000); Fiscal Year 2012: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
• Keywords: 日本 / 英国 / フィンランド / 社会経済的要因 / 健康格差 / 心理社会的ストレス / ワークライフバランス / 生活習慣 / 国際比較

Outline of Final Research Achievements

No significant employment-grade differences in health behaviours and obesity were observed in Japan and the differences did not widen longitudinally. In Britain and Finland, clear employment-grade differences in health behaviours and obesity were observed, and the differences became wide over time. There were employment-grade differences in psychosocial stress and physical and mental functioning in Britain, Finland and Japan, and the magnitude and patterns of the difference differ across countries. In addition, while the differences in Britain and Finland became wide over time, the difference did not hardly change in Japan. This study showed that socioeconomic differences in health and the underlying mechanisms may differ across countries, which suggests that country specific public health policies are needed to reduce health inequalities.

Research Products

• [Int'l Joint Research] University College London(United Kingdom)
• [Int'l Joint Research] University of Helsinki(Finland)
• [Int'l Joint Research] ロンドン大学ユニバーシティカレッジ(英国)
• [Int'l Joint Research] ヘルシンキ大学(フィンランド)
• [Int'l Joint Research] ロンドン大学ユニバーシティ・カレッジ(英国)
• [Int'l Joint Research] ヘルシンキ大学(フィンランド)
• [Journal Article] Country specific associations between social contact and mental health: evidence from civil servant studies across Great Britain, Japan and Finland. (2016)
  • Author(s): Cable N, Chandola T, Lallukka T, Sekine M, Lahelma E, Tatsuse T, Marmot MG
  • Journal Title: Public Health Volume: n/a Pages: 139-146
  • DOI: 10.1016/j.puhe.2015.10.013
  • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
• [Journal Article] Changes over time in absolute and relative socioeconomic differences in smoking: A comparison of cohort studies from Britain, Finland and Japan. (2016)
  • Author(s): Lahelma E, Pietiläinen O, Ferrie J, Kivimäki M, Lahti J, Marmot M, Rahkonen O, Sekine M, Shipley M, Tatsuse T, Lallukka T.
  • Journal Title: Nicotine Tobacco Research Volume: n/a Issue: 8 Pages: 1697-1704
  • DOI: 10.1093/ntr/ntw004
  • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
• [Journal Article] 社会経済的要因による睡眠格差－日本・英国・フィンランド公務員研究の国際比較 (2015)
  • Author(s): 関根道和
  • Journal Title: 日本社会精神医学会誌 Volume: 24 Pages: 383-394
• [Journal Article] Social class inequalities in health among occupational cohorts from Finland, Britain, and Japan: a follow up study (2015)
  • Author(s): Lahelma E, Pietilainen O, Rahkonen O, Kivimaki M, Martikainen P, Ferrie J, Marmot M, Shipley M, Sekine M, Tatsuse T, Lallukka T
  • Journal Title: Health and Place Volume: 31 Pages: 173-9
  • DOI: 10.1016/j.healthplace.2014.12.004
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] U-shaped associations between time in bed and the physical and mental functioning of Japanese civil servants: the roles of work, family, behavioral and sleep quality characteristics (2014)
  • Author(s): Sekine M, Tatsuse T, Cable N, Chandola T, Marmot M
  • Journal Title: Sleep Medicine Volume: 15 Issue: 9 Pages: 1122-31
  • DOI: 10.1016/j.sleep.2014.04.012
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Socioeconomic and gender inequalities in job dissatisfaction among Japanese civil servants: the roles of work, family and personality characteristics (2014)
  • Author(s): Sekine M, Tatsuse T, Cable N, Chandola T, Marmot M
  • Journal Title: Industrial Health Volume: 52 Pages: 498-511
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] 社会経済的要因による循環器疾患と危険因子の格差－日本・英国・フィンランドの国際共同研究から－ (2014)
  • Author(s): 山田正明、立瀬剛志、関根道和
  • Journal Title: 日本循環器病予防学会誌 Volume: 49 Pages: 197-205
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Sex Differences in Factors Contributing to Family-to-work and Work-to-family Conflict in Japanese Civil Servants (2014)
  • Author(s): Fujimura Y, Sekine M, Tatsuse T
  • Journal Title: Journal of Occupational Health Volume: 56 Issue: 6 Pages: 485-497
  • DOI: 10.1539/joh.14-0045-OA
  • NAID: 130004704505
  • ISSN: 1341-9145, 1348-9585
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Conflicts between work and family life and subsequent sleep problems among employees from Finland, Britain, and Japan (2014)
  • Author(s): Lallukka T, Ferrie JE, Kivimaki M, Shipley MJ, Sekine M, Tatsuse T, Pietiläinen O, Rahkonen O, Marmot MG, Lahelma E
  • Journal Title: International Journal of Behaviour Medicine Volume: 21 Pages: 310-318
  • Peer Reviewed
• [Journal Article] Occupational class differences in body mass index and weight gain in Japan and Finland (2013)
  • Author(s): Silventoinen K, Tatsuse T, Martikainen P, Rahkonen O, Lahelma E, Sekine M, Lallukka T
  • Journal Title: Journal of Epidemiology Volume: 23 Pages: 443-450
  • Peer Reviewed
• [Journal Article] Job dissatisfaction as a contributor to stress-related mental health problems among Japanese civil servants (2013)
  • Author(s): Tatsuse T, Sekine M
  • Journal Title: Industrial Health Volume: 51 Pages: 307-318
  • Peer Reviewed
• [Journal Article] Conflicts Between Work and Family Life and Subsequen Sleep Problems Among Employees from Finland, Britain, and Japan (2013)
  • Author(s): Lallukka T, Ferrie JE, Kivimaki M, Shipley MJ, Sekine M, Tatsuse T, Pietilainen O, Rahkonen O, Marmot MG, Lahelma E
  • Journal Title: International Journal of Behavioral Medicine Volume: in press Issue: 2 Pages: 310-318
  • DOI: 10.1007/s12529-013-9301-6
  • Peer Reviewed
• [Presentation] Social Determinants of Health: Role of Psychosocial Stress at Work and Family Life. (2017)
  • Author(s): Michikazu Sekine
  • Organizer: The 21st International Epidemiological Association (IEA) World Congress of Epidemiology (WCE2017) August 20(Sun)-22(Tue), 2017, Saitama
  • Int'l Joint Research
• [Presentation] 睡眠疫学にもとづくメンタルヘルス対策：日本・英国・フィンランド国際共同研究 (2016)
  • Author(s): 関根道和
  • Organizer: 平成28年度かかりつけ医のためのうつ病講習会（富山県医師会）
  • Place of Presentation: 富山県医師会館（富山市蜷川336）
  • Year and Date: 2016-12-04
  • Invited
• [Presentation] 職場のストレス・チェック制度を活用した健康経営を考える－日本・英国・フィンランド国際共同研究の結果から－（Strategic Use of Stress Check-up System for Health and Productivity Management: Results from International Comparative Studies of British, Finnish, and Japanese Civil Servants） (2016)
  • Author(s): 関根道和
  • Organizer: サウスケンジントン会（インペリアル・カレッジ・ロンドン日本同窓会）
  • Place of Presentation: 東京大学駒場キャンパス（東京都目黒区駒場4－6）
  • Year and Date: 2016-11-26
  • Invited
• [Presentation] Socioeconomic and Gender Inequalities in Physical Functioning: International Comparative Studies on British, Finnish, and Japanese Civil Servants. In Symposium “Cultural, Structural, and Psychosocial Groundings of Physical Health. (2016)
  • Author(s): Michikazu Sekine
  • Organizer: The 23rd International Congress of International Association for Cross-Cultural Psychology (IACCP).
  • Place of Presentation: ウイング愛知（名古屋市中村区名駅4丁目4－38）
  • Year and Date: 2016-07-30
  • Int'l Joint Research
• [Presentation] 社会経済的要因による睡眠格差－日本・英国・フィンランド公務員研究の国際比較 (2015)
  • Author(s): 関根道和
  • Organizer: 第34回社会精神医学会
  • Place of Presentation: 富山国際会議場
  • Year and Date: 2015-03-05
  • Invited
• [Presentation] 労働者の睡眠疫学と政策への示唆－日本・英国・フィンランド公務員研究の結果から－ (2015)
  • Author(s): 関根道和
  • Organizer: 日本総合健診医学会第43回大会
  • Place of Presentation: 富山市民プラザ
  • Year and Date: 2015-02-20
  • Invited
• [Presentation] Psychosocial stress at work, work-family conflicts, and personality characteristics as determinants of job dissatisfaction of Japanese civil servants (2014)
  • Author(s): Sekine M, Tatsuse T
  • Organizer: The 2014 Global Conference on Business and Finance
  • Place of Presentation: Hawaii, USA
• [Presentation] Stressful work and family life as determinants of poor sleep quantity and quality of Japanese civil servants (2014)
  • Author(s): Sekine M, Tatsuse T
  • Organizer: The 2014 Global Conference on Business and Finance
  • Place of Presentation: Hawaii, USA
• [Presentation] 睡眠時間と睡眠障害のU字型関係：仕事・家庭・生活習慣の役割 (2012)
  • Author(s): 関根道和、立瀬剛志
  • Organizer: 日本睡眠学会第37回定期学術集会
  • Place of Presentation: 横浜
• [Presentation] 社会民主主義型福祉国家レジームは循環器危険因子の格差縮小に寄与するか？－日本・英国・フィンランド国際比較研究－
  • Author(s): 関根道和
  • Organizer: 第49回日本循環器病予防学会・日本循環器管理研究協議会総会（ミニシンポジウム「循環器疾患の社会経済的格差」）
  • Place of Presentation: 金沢
  • Invited
• [Presentation] 睡眠格差－健康日本21（第2次）の推進に向けて
  • Author(s): 関根道和
  • Organizer: 日本睡眠学会第38回定期学術集会(シンポジウム「健康日本21（第2次）と睡眠公衆衛生」)
  • Place of Presentation: 秋田
  • Invited
• [Presentation] U-Shape Associations of Sleep Hours with Physical and Mental Functioning of Japanese Civil Servants: Roles of Work, Family and Behavioural Characteristics
  • Author(s): Sekine M, Tatsuse T
  • Organizer: The 21st Congress of the European Sleep Research Society
  • Place of Presentation: Paris, France
• [Presentation] Socioeconomic and Gender Inequalities in Difficulty Falling Asleep of British, Finnish, and Japanese Civil Servants: Roles of Job Strain, Work Hours and Work-Family Conflicts
  • Author(s): Sekine M, Tatsuse T, Cable N, Chandola T, Marmot M, Lallukka T, Rahkonen O, Lahelma E
  • Organizer: The 21st Congress of the European Sleep Research Society
  • Place of Presentation: Paris, France
• [Presentation] Changes over Time in Social Class Inequalities in Health among Employees from Finland, Britain and Japan.
  • Author(s): Lahelma E, Lallukka T, Pietilainen O, Rahkonen O, Kivimaki M, Ferrie J, Shipley M, Tatsuse T, Sekine M
  • Organizer: The 5th Annual European Public Health Conference
  • Place of Presentation: Malta, Malta
• [Presentation] Job Satisfaction, Work Stress and Work-family Conflicts as Explanatory Factors for Employment-grade and Gender Differences in Quality of Working Life (Hatarakigai): the Japanese Civil Servants Study
  • Author(s): Sekine M, Tatsuse T
  • Organizer: The 2013 Global Conference on Business and Finance
  • Place of Presentation: Las Vegas, USA
• [Presentation] Employment-grade and Gender Differences in Job Dissatisfaction of Japanese Civil Servants: Roles of Work, Family, and Personality Characteristics
  • Author(s): Sekine M, Tatsuse T
  • Organizer: The 2013 Global Conference on Business and Finance
  • Place of Presentation: Las Vegas, USA
• [Presentation] 「働きがい」格差とその決定要因：日本公務員研究
  • Author(s): 関根道和（シンポジウム）
  • Organizer: 第71回日本公衆衛生学会総会ミニシンポジウム１「雇用・労働環境の健康影響－要因分析から介入までを考える」
  • Place of Presentation: 山口
• [Presentation] 眠り長すぎ短すぎは禁物・睡眠障害のリスク8時間前後が最も少なく・富山大医学部の関根准教授ら調査
  • Author(s): 関根道和（学会発表に関する新聞記事）
  • Organizer: 中國新聞（共同通信社配信記事）
  • Place of Presentation: 広島
• [Presentation] 短眠も長眠も睡眠障害多く・公務員3500人調査
  • Author(s): 関根道和（学会発表に関する新聞記事）
  • Organizer: 新潟日報（共同通信社配信記事）
  • Place of Presentation: 新潟
• [Presentation] 短眠も長眠も睡眠障害多い・睡眠8時間がリスク最少
  • Author(s): 関根道和（学会発表に関する新聞記事）
  • Organizer: 日本海新聞（共同通信社配信記事）
  • Place of Presentation: 鳥取
• [Presentation] 睡眠時間 短すぎても長すぎても 障害多く 8時間がリスク最少 富山大准教授ら調査
  • Author(s): 関根道和（学会発表に関する新聞記事）
  • Organizer: 山形新聞（共同通信社配信記事）
  • Place of Presentation: 山形
• [Presentation] 短眠も長眠も睡眠障害多い 8時間がリスク最少
  • Author(s): 関根道和（学会発表に関する新聞記事）
  • Organizer: 山陰中央新報（共同通信社配信記事）
  • Place of Presentation: 島根・鳥取
• [Presentation] 日本公務員研究と富山出生コホート研究
  • Author(s): 関根道和（講演）
  • Organizer: 平成24年度文部科学省科学研究費新学術領域研究「現代社会の階層化の機構理解と格差の制御：社会科学と健康科学の融合」第８回定例研究交流会シンポジウム
  • Place of Presentation: 東京
• [Presentation] パネルデータをどう構築・維持・活用するか？
  • Author(s): 関根道和（シンポジウム）
  • Organizer: 平成24年度文部科学省科学研究費新学術領域研究「現代社会の階層化の機構理解と格差の制御：社会科学と健康科学の融合」第８回定例研究交流会シンポジウム
  • Place of Presentation: 東京
• [Book] Socioeconomic and sex inequalities in health of Japanese civil servants with international comparisons: role of job strain, work hours, and work-family conflicts. [Chapter 1]. In: Rowsen JD, Eliot AP (ed.). Social Inequalities. (2012)
  • Author(s): Sekine M
  • Total Pages: 44
  • Publisher: NOVA Science Publishers, New York, NY
• [Remarks] 日本公務員研究
  • URL: http://www.med.u-toyama.ac.jp/healpro/jacs/jacs.html
• [Remarks] 日本公務員研究（富山大学医学部疫学健康政策学講座ホームページ内）
  • URL: http://www.med.u-toyama.ac.jp/healpro/jacs/jacs.html
• [Remarks] 日本公務員研究 （富山大学大学院医学薬学研究部保健医学講座ホームページ内 日本公務員研究）
  • URL: http://www.med.u-toyama.ac.jp/healpro/jacs/jacs.html