由可修改的行为因素介导的死亡率的教育差异:来自日本多机构协作队列研究的发现
Masayoshi Zaitsu1, Kazuhiko Watanabe2, Mako Nagayoshi3
1Center for Research of the Aging Workforce, University of Occupational and Environmental Health, Kitakyushu, Japan.
Public health
|January 13, 2026
概括
在年轻的日本男性中,死亡率的教育差异仍然存在,这与吸烟和体力活动不足等行为有关. 这些可修改的风险大大增加了死亡率差距,突出了公共卫生问题.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 教育程度是已知的健康的社会决定因素.
- 全球存在基于教育的死亡率差异.
- 行为因素在调解这些差异中的作用需要进一步调查,特别是在亚洲人群中.
研究的目的:
- 调查日本教育水平与整体/特定原因死亡率之间的关联.
- 为了确定可修改的行为因素是否调解死亡率的教育差异.
主要方法:
- 一项多中心对58,831名日本成年人的队列研究 (日本多机构合作队列研究).
- 参与者根据教育水平 (高中或更低,初中,大学或更高) 分类.
- 考克斯回归和因果调解分析被用来评估死亡风险和行为 (吸烟,酒精,体力活动) 的影响.
主要成果:
- 低学历 (高中或以下) 的男性的整体死亡率 (调整HR: 1.23) 和癌症和其他原因的风险更高.
- 这些差异在35-59岁的男性中最为突出.
- 吸烟,酒精和身体不活动分别占死亡率差距的11%,9%,12%. 在女性中没有发现任何显著的差异.
结论:
- 在年轻的日本男性中,死亡率的教育差异仍然很大.
- 可修改的行为,如吸烟,过度饮酒和身体活动不足,是这些差异的关键媒介.
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