Iryo To Shakai
Online ISSN : 1883-4477
Print ISSN : 0916-9202
ISSN-L : 0916-9202
Invited Article
The Process of Health Satisfaction and Social Stratification among Elderly Japanese People
Using Group-Based Trajectory Models
Tomoo Nakata
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JOURNAL FREE ACCESS

2012 Volume 22 Issue 1 Pages 79-89

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Abstract

The aim of this study is to examine the differences in self-rated health patterns and its factors among elderly Japanese people.
The theory, which was derived Compression of morbidity, explains the differences in the trajectories in deteriorating health among social stratification. Therefore, mixture models for testing the disparity of developmental trajectories using SAS PROC TRAJ was applied to the panel data.
This study employed the National Survey of the Japanese Elderly, from wave I (1987) to wave IV (1996), which was conducted by Michigan University and Tokyo Metropolitan Institute of Gerontology. The independent variable was a set of dummy variable of Satisfaction of health and age was used for independent variable. Time dependent covariates are dummy variables of occupational status and marital status.
The results of this analysis are as follow ; 1) Dividing into two groups was adequate in this analysis through the goodness of fit tests. 2) Those groups showed quite different trajectories. one trajectory showed very high health and its rapid decline with age, and another drew low health and run down linearly. The latter was occupied by male and low-educated people. And 3)Both occupational status and marital status have an positive impact for health.
These results show that while the educated and female tend to enjoy good health, but at the end of life, their health declines dramatically, males are obliged to experience in bad shape. This seems to consistent with the social stratification and ‘compression of morbidity’ theory.

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© 2012 The Health Care Science Institute
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