Trends in self-reported current diabetes care use, socioeconomic inequalities, and associated factors in Japan: evidence from the Comprehensive Survey of Living Conditions (1986–2022)
Authors' conclusion
Self-reported diabetes care use increased from 1986 to 2022 in Japan, with lower educational level associated with higher current diabetes care use, particularly among working-age adults.
Study context
- Population
- Adults in Japan, Comprehensive Survey of Living Conditions (1986–2022); diabetes care use = self-reported current medical facility attendance for diabetes
- Exposure
- Educational level and occupational class in current diabetes care use
- Outcome
- Age-standardized prevalence of self-reported current diabetes care use
- Follow-up
- 1986-2022
Methodological detailsnationally representative, age-standardized, survey-weighted Poisson regression
- Nationally representative
- Age-standardized
- Survey-weighted Poisson regression
Main finding
As reported in the abstract
Age-standardized self-reported current diabetes care use · 1986 to 2022
Men, 1986 to 2022
2.2% to 8.3%
Women, 1986 to 2022
1.7% to 4.4%
Observational data: associations, not effects.
Further findings
| Outcome | PR (95% CI) | |
|---|---|---|
| Current diabetes care use by educational level (both sexes) · 2022Middle educationvs High education | 1.17 (1.13–1.22) | |
| Current diabetes care use by educational level (both sexes) · 2022Low educationvs High education | 1.22 (1.13–1.32) | |
| Current diabetes care use by occupational class · 2022Lower non-manual workersvs Upper non-manual workers | 0.92 (0.86–0.98) | |
| Current diabetes care use by occupational class · 2022Non-employedvs Upper non-manual workers | 1.10 (1.01–1.21) | |
| 0.512Prevalence ratio (log scale) |
Current diabetes care use by educational level (both sexes) · 2022
- Educational differences evident, particularly among working-age adults
Current diabetes care use by occupational class · 2022
- Manual workers, self-employed and farmers did not differ significantly from the reference group
Other associated factors · 2022
- Older age, men, hypertension, depression and current smoking associated with higher current diabetes care use
Original publication
Trends in self-reported current diabetes care use, socioeconomic inequalities, and associated factors in Japan: evidence from the Comprehensive Survey of Living Conditions (1986–2022). BMJ Open Diabetes Res Care. Published 15 July 2026. doi:10.
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