Journal article

Local-Area Walkability and Socioeconomic Disparities of Cardiovascular Disease Mortality in Japan

Mohammad Javad Koohsari, Tomoki Nakaya, Tomoya Hanibuchi, Ai Shibata, Kaori Ishii, Takemi Sugiyama, Neville Owen, Koichiro Oka

Journal of the American Heart Association | WILEY | Published : 2020

Abstract

Background There are spatial disparities in cardiovascular disease (CVD) mortality related to area-level socioeconomic status (SES) disadvantage, but little is known about the spatial distribution of CVD mortality according to built environment factors. We examined joint associations of neighborhood walkability attributes and SES with CVD mortality rates through linkage of Japanese national data sets. Methods and Results National data were used from the 1824 municipalities (of the 1880 potentially eligible municipalities) across Japan. The outcome was mortality from CVD for a 5-year period (2008-2012) for each municipality. A national index of neighborhood deprivation was used as an indicato..

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Grants

Awarded by Japan Society for the Promotion of Sciences (KAKENHI Grant)


Awarded by National Health and Medical Research Council of Australia (NHMRC) Centre of Research Excellence Grant


Awarded by NHMRC Senior Principal Research Fellowship


Awarded by Ministry of Education, Culture, Sports, Science and Technology-Supported Program for the Strategic Research Foundation at Private Universities 2015-2019 the Japan Ministry of Education, Culture, Sports, Science and Technology


Funding Acknowledgements

Dr Nakaya was supported by a Japan Society for the Promotion of Sciences (KAKENHI Grant 20H00040). Dr Hanibuchi was supported by a Japan Society for the Promotion of Sciences (KAKENHI Grant 18KK0371 and 17H00947). Dr Owen is supported by a National Health and Medical Research Council of Australia (NHMRC) Centre of Research Excellence Grant (#1057608), NHMRC Senior Principal Research Fellowship (#1118225), and the Victorian Government's Operational Infrastructure Support Program. Dr Oka was supported by the Ministry of Education, Culture, Sports, Science and Technology-Supported Program for the Strategic Research Foundation at Private Universities 2015-2019 the Japan Ministry of Education, Culture, Sports, Science and Technology (S1511017).