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Inequality in the health status of workers in small-scale enterprises
Tsutomu Hoshuyama1, Yoshiyuki Hino, Koutarou Kayashima
1Department of Environmental Epidemiology, University of Occupational and Environmental Health, Orio, Yahatanishiku, Kitakyushu, Japan. hoshuyam@med.uoeh-u.ac.jp
Background:
Small-scale enterprises (SSEs) usually share poorer resources for promoting occupational health.
Aim:
To investigate inequality of health status among SSEs in Japan.
Method:
A cross-sectional, multiple-centred study was carried out using the periodical health check-up data for the fiscal year 2000 to compare the age-adjusted proportions of workers with hypertension (HT), hyperlipidaemia, impaired glucose tolerance (IGT) and obesity and of current smokers by size of enterprise, i.e.
Results:
From five leading occupational health organizations, data were collected for 9833 enterprises with a total of 436 729 subjects, 302 383 males and 134 346 females. The proportions of workers in SSEs with
Conclusion:
Despite the cross-sectional design and only adjusting age as a potential confounder, higher proportions of HT, IGT, obesity and smoking in male workers were found in SSEs compared to larger organizations.
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