Relationship between health practices and education level in the rural japanese population

Yukiko Anzai, Takayoshi Ohkubo, Yoshikazu Nishino, Ichiro Tsuji, Shigeru Hisamichi

Research output: Contribution to journalArticlepeer-review

34 Citations (Scopus)


Past studies in Europe and the USA have found that people with higher education levels have better health practices. The aim of this study was to examine the association between health practices and education level among people in a rural Japanese community. Data were derived from the Ohsaki National Health Insurance Cohort Study, which has been following 52,029 NHI beneficiaries, aged 40 to 79 years, in Miyagi Prefecture, Japan. The relationship between education level and seven health indices (smoking, drinking, body mass index, sleeping, exercise, breakfast, and snacks) was analyzed. Higher education was associated with shorter sleeping hours for both men and women, and lower BMI for women. In age groups younger than 70 years, people with higher education tended to exercise more. Smoking for women, alcohol consumption, and a Health Practices Index were not related to education levels. These results are different from those from Europe and the USA. This study suggest that the relationship between health practices and education level is weaker in Japan than in Europe and the USA.

Original languageEnglish
Pages (from-to)149-156
Number of pages8
Journaljournal of epidemiology
Issue number3
Publication statusPublished - 2000
Externally publishedYes


  • Body mass index
  • Education level
  • Health practice
  • Japanese
  • Smoking, alcohol

ASJC Scopus subject areas

  • Epidemiology


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