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Part of the book series: Science Across Cultures: The History of Non-Western Science ((SACH,volume 13))

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Abstract

Japanese men and women enjoy high levels of life expectancy and health expectancy when compared with international standards. Relatively little is known, however, about health differentials among the population. Focusing on gender as a fundamental cause of health and mortality, this chapter summarizes the research findings on health inequalities between men and women in Japan. We pay particular attention to families as social arrangements that shape men’s and women’s health status. Our review suggests that differences between men’s and women’s lives, such as in the amounts of unpaid domestic work they perform, are related to health, with more unbeneficial consequences to women’s health. Fully understanding the mechanisms behind the gender gap in health requires research that examines the broader social conditions that create different experiences for men and women and how they lead to gendered health outcomes.

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References

  • Benedict, R. (1946). The chrysanthemum and the sword. Mariner Books.

    Google Scholar 

  • Bianchi, S. M. (2011). Family change and time allocation in American families. The Annals of the American Academy of Political and Social Science, 638(1), 21–44.

    Article  Google Scholar 

  • Bianchi, S. M., & Milkie, M. A. (2010). Work and family research in the first decade of the 21st century. Journal of Marriage and Family, 72(3), 705–725.

    Article  Google Scholar 

  • Bianchi, S. M., Robinson, J. P., & Milkie, M. A. (2006). Changing rhythms of American family life. Russell Sage Foundation.

    Google Scholar 

  • Bianchi, S. M., Sayer, L. C., Milkie, M. A., & Robinson, J. P. (2012). Housework: Who did, does or will do it, and how much does it matter? Social Forces, 91(1), 55–63.

    Article  Google Scholar 

  • Bird, C. E. (1999). Gender, household labor, and psychological distress: The impact of the amount and division of housework. Journal of Health and Social Behavior, 40(1), 32–45.

    Article  Google Scholar 

  • Bird, C. E., & Rieker, P. P. (2002). Integrating social and biological research to improve men’s and women’s health. Women’s Health Issues, 12(3), 113–115.

    Article  Google Scholar 

  • Carr, D., & Springer, K. W. (2010). Advances in families and health research in the 21st century. Journal of Marriage and Family, 72(3), 743–761.

    Article  Google Scholar 

  • Case, A., & Paxson, C. (2005). Sex differences in morbidity and mortality. Demography, 42(2), 189–214.

    Article  Google Scholar 

  • Crimmins, E. M., Hayward, M. D., & Saito, Y. (1994). Changing mortality and morbidity rates and the health status and life expectancy of the older population. Demography, 31(1), 159–175.

    Article  Google Scholar 

  • Crimmins, E. M., Johnston, M., Hayward, M., & Seeman, T. (2003). Age differences in allostatic load: An index of physiological dysregulation. Experimental Gerontology, 38(7), 731–734.

    Article  Google Scholar 

  • Durkheim, E. (1897). Suicide, a study in sociology. Snowball Publishing.

    Google Scholar 

  • Ervin, J., Taouk, Y., Alfonzo, L. F., Hewitt, B., & King, T. (2022). Gender differences in the association between unpaid labour and mental health in employed adults: A systematic review. The Lancet Public Health, 7(9), e775–e786.

    Article  Google Scholar 

  • Esping-Andersen, G. (2009). The incomplete revolution: Adapting to women’s new roles. Polity.

    Google Scholar 

  • Gender Equality Bureau. (2022). The white paper on gender equality. Cabinet Office. https://www.gender.go.jp/about_danjo/whitepaper/r04/zentai/pdfban.html

  • Griffiths, K. M., Nakane, Y., Christensen, H., Yoshioka, K., Jorm, A. F., & Nakane, H. (2006). Stigma in response to mental disorders: A comparison of Australia and Japan. BMC Psychiatry, 6, 21.

    Article  Google Scholar 

  • Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38(1), 21–37.

    Article  Google Scholar 

  • Idler, E. L., Russell, L. B., & Davis, D. (2000). Survival, functional limitations, and self-rated health in the NHANES I Epidemiologic Follow-up Study, 1992. First National Health and Nutrition Examination Survey. American Journal of Epidemiology, 152(9), 874–883.

    Article  Google Scholar 

  • Iwagami, M., & Tamiya, N. (2019). The long-term care insurance system in Japan: Past, present, and future. JMA Journal, 2(1), 67–69.

    Article  Google Scholar 

  • Link, B. G., & Phelan, J. (1995). Social conditions as fundamental causes of disease. Journal of Health and Social Behavior, 35, 80–94.

    Article  Google Scholar 

  • Luy, M., & Minagawa, Y. (2014). Gender gaps—Life expectancy and proportion of life in poor health. Health Reports, 25(12), 12–19.

    Google Scholar 

  • Milkie, M. A., Nomaguchi, K., & Schieman, S. (2019). Time deficits with children: The link to parents’ mental and physical health. Society and Mental Health, 9(3), 277–295.

    Article  Google Scholar 

  • Minagawa Y. (2023). Age composition of young children and parental well-being in Japan. Journal of Family Studies, 29(3), 1447–1464.

    Google Scholar 

  • Ministry of Health, Labour, and Welfare. (2015). Summary of life tables by prefecture. Ministry of Health, Labour, and Welfare. https://www.mhlw.go.jp/toukei/saikin/hw/life/tdfk15/index.html

  • Ministry of Health, Labour, and Welfare. (2019). Comprehensive survey of living conditions. https://www.mhlw.go.jp/toukei/list/20-21kekka.html

  • Ministry of Health, Labour, and Welfare. (2021). Summary of vital statistics 2021. Ministry of Health, Labour, and Welfare. https://www.mhlw.go.jp/toukei/saikin/hw/jinkou/kakutei21/index.html

  • Ministry of Health, Labour, and Welfare. (2022). The 23rd life tables. Ministry of Health, Labour, and Welfare. https://www.mhlw.go.jp/toukei/saikin/hw/life/23th/index.html

  • Myrskylä, M., & Margolis, R. (2014). Happiness: Before and after the kids. Demography, 51(5), 1843–1866.

    Article  Google Scholar 

  • Nathanson, C. A. (1984). Sex differences in mortality. Annual Review of Sociology, 10, 191–213.

    Article  Google Scholar 

  • Negraia, D. V., Yavorsky, J. E., & Dukhovnov, D. (2021). Mothers’ and fathers’ well-being: Does the gender composition of children matter? Journal of Marriage and Family, 83(3), 820–844.

    Article  Google Scholar 

  • Nomaguchi, K. M., & Milkie, M. A. (2006). Maternal employment in childhood and adults’ retrospective reports of parenting practices. Journal of Marriage and Family, 68(3), 573–594.

    Article  Google Scholar 

  • Nomaguchi, K. M., Milkie, M. A., & Bianchi, S. M. (2005). Time strains and psychological well-being: Do dual-earner mothers and fathers differ? Journal of Family Issues, 26(6), 756–792.

    Article  Google Scholar 

  • Oksuzyan, A., Petersen, I., Stovring, H., Bingley, P., Vaupel, J. W., & Christensen, K. (2009). The male-female health-survival paradox: A survey and register study of the impact of sex-specific selection and information bias. Annals of Epidemiology, 19(7), 504–511.

    Article  Google Scholar 

  • Omran, A. R. (1971). The epidemiologic transition: A theory of the epidemiology of population change. The Milbank Memorial Fund Quarterly, 49(4), 509–538.

    Article  Google Scholar 

  • Preston, S. H., & Wang, H. (2006). Sex mortality differences in the United States: The role of cohort smoking patterns. Demography, 43(4), 631–646.

    Article  Google Scholar 

  • Read, J. G., & Gorman, B. K. (2010). Gender and health inequality. Annual Review of Sociology, 36, 371–386.

    Article  Google Scholar 

  • Rieker, P. P., & Bird, C. E. (2005). Rethinking gender differences in health: Why we need to integrate social and biological perspectives. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 60 (Spec No 2), 40–47.

    Google Scholar 

  • Rieker, P. P., Bird, C. E., & Lang, M. (2010). Understanding gender and health: Old patterns, new trends, and future directions. In Handbook of medical sociology (6th ed., pp. 52–74). Vanderbilt University Press.

    Google Scholar 

  • Rogers, R. G., Hummer, R. A., Krueger, P. M., & Pampel, F. C. (2005). Mortality attributable to cigarette smoking in the United States. Population and Development Review, 31(2), 259–292.

    Article  Google Scholar 

  • Rogers, R. G., Everett, B. G., Onge, J. M., & Krueger, P. M. (2010). Social, behavioral, and biological factors, and sex differences in mortality. Demography, 47(3), 555–578.

    Article  Google Scholar 

  • Sprecher, S. (2018). Inequity leads to distress and a reduction in satisfaction: Evidence from a priming experiment. Journal of Family Issues, 39(1), 230–244.

    Article  Google Scholar 

  • Statistics Bureau. (2020). 2020 population census: Summary of basic complete tabulation on population and others. Statistics Bureau.

    Google Scholar 

  • Sugimoto, Y. (2014). An introduction to Japanese society (4th ed.). Cambridge University Press.

    Book  Google Scholar 

  • Tanaka, K., & Lowry, D. (2013). Mental Well-being of mothers with preschool children in Japan: The importance of spousal involvement in childrearing. Journal of Family Studies, 19(2), 185–195.

    Article  Google Scholar 

  • Taniguchi, H., & Kaufman, G. (2020). Sharing the load: Housework, joint decision- making, and marital quality in Japan. Journal of Family Studies, 28(3), 914–933.

    Article  Google Scholar 

  • Umberson, D., Williams, K., Powers, D. A., Liu, H., & Needham, B. (2006). You make me sick: Marital quality and health over the life course. Journal of Health and Social Behavior, 47(1), 1–16.

    Article  Google Scholar 

  • United Nations. (2022). World population prospects 2022. United Nations. https://population.un.org/wpp/

  • Verbrugge, L. M., & Wingard, D. L. (1987). Sex differentials in health and mortality. Women & Health, 12(2), 103–145.

    Article  Google Scholar 

  • Wang, H., Abbas, K. M., Abbasifard, M., Abbasi-Kangevari, M., Abbastabar, H., Abd-Allah, F., Abdelalim, A., Abolhassani, H., Guimarães Abreu, L., Abrigo, M. R. M., Abushouk, A. I., Adabi, M., Adair, T., Adebayo, O. M., Akinkunmi Adedeji, I., Adekanmbi, V., Moshood Adeoye, A., Adetokunboh, O. O., Advani, S. M., et al. (2020). Global age- sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950-2019: A comprehensive demographic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1160–1203.

    Article  Google Scholar 

  • World Economic Forum (2022). Global gender gap report 2022. World Economic Forum. https://www.weforum.org/reports/global-gender-gap-report-2022/

  • Yamaoka, Y., Tamiya, N., Izumida, N., Kawamura, A., Takahashi, H., & Noguchi, H. (2016). The relationship between raising a child with a disability and the mental health of mothers compared to raising a child without disability in Japan. SSM – Population Health, 2, 542–548.

    Article  Google Scholar 

  • Yong, V., & Saito, Y. (2012). National long-term care insurance policy in Japan a decade after implementation: Some lessons for aging countries. Ageing International, 37, 271–284.

    Article  Google Scholar 

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Correspondence to Yuka Minagawa .

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Minagawa, Y. (2023). Aging, Health, and Gender. In: Tanaka, K., Selin, H. (eds) Sustainability, Diversity, and Equality: Key Challenges for Japan. Science Across Cultures: The History of Non-Western Science, vol 13. Springer, Cham. https://doi.org/10.1007/978-3-031-36331-3_4

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