IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v65y2007i4p822-832.html
   My bibliography  Save this article

Urban-rural difference in stroke mortality from a 19-year cohort study of the Japanese general population: NIPPON DATA80

Author

Listed:
  • Nishi, Nobuo
  • Sugiyama, Hiromi
  • Kasagi, Fumiyoshi
  • Kodama, Kazunori
  • Hayakawa, Takehito
  • Ueda, Kazuo
  • Okayama, Akira
  • Ueshima, Hirotsugu

Abstract

In Japan, cohort studies on stroke have been mainly conducted in rural areas, with few studies comparing stroke mortality between urban and rural areas. We aimed to explore urban-rural difference in stroke mortality throughout Japan using a representative sample of the general Japanese population, the NIPPON DATA80. This study included 9309 subjects (4080 men and 5229 women) aged 30 years or older who were residents of 294 areas in 211 municipalities of Japan in 1980 and followed-up until 1999. Population size of the municipality in which the aforementioned areas were located was used to distinguish between urban and rural areas, because municipalities in Japan are classified as village, town or city principally by population size. We applied a multilevel logistic regression model to take into account the hierarchical data structure of individuals (subjects) (level 1) nested within areas (level 2), and then calculated odds ratios and 95% confidence intervals (CIs) of deaths from total stroke. Statistically significant variance between areas was not observed in men but was in women. Age-adjusted odds ratios of the areas in the medium (population[greater-or-equal, slanted]30,000 and

Suggested Citation

  • Nishi, Nobuo & Sugiyama, Hiromi & Kasagi, Fumiyoshi & Kodama, Kazunori & Hayakawa, Takehito & Ueda, Kazuo & Okayama, Akira & Ueshima, Hirotsugu, 2007. "Urban-rural difference in stroke mortality from a 19-year cohort study of the Japanese general population: NIPPON DATA80," Social Science & Medicine, Elsevier, vol. 65(4), pages 822-832, August.
  • Handle: RePEc:eee:socmed:v:65:y:2007:i:4:p:822-832
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(07)00198-0
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to search for a different version of it.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:65:y:2007:i:4:p:822-832. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.