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Urban Studies
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Health Levels Influenced by Urban Residential Conditions in a Megacity—Tokyo

Atsuko Tanaka

Department of Public Health and Environmental Science, School of Medicine, Tokyo Medical and Dental University, Tokyo 113, Japan

Takehito Takano

Department of Public Health and Environmental Science, School of Medicine, Tokyo Medical and Dental University, Tokyo 113, Japan

Keiko Nakamura

Department of Public Health and Environmental Science, School of Medicine, Tokyo Medical and Dental University, Tokyo 113, Japan

Sachiko Takeuchi

Department of Public Health and Environmental Science, School of Medicine, Tokyo Medical and Dental University, Tokyo 113, Japan

Influences of residential conditions in a megacity on the health levels of residents were investigated. Correlations between mortalities and specified residential-condition indicators in study areas randomly selected from the megacity Tokyo were examined. Indicators representing housing and city planning were significantly correlated with mortalities after adjusting for socio-economic differences between the communities. Urbanisation to a certain level seems to have been associated with good health; however, the most densely developed artificial urban environment seems to be associated with negative health outcomes. Coping skills with regard to health problems are discussed in relation to health levels. A survey elucidated that the coping attitude of the elderly is related with their educational level, family structure, frequency of receiving health information and contact with a family doctor.

Urban Studies, Vol. 33, No. 6, 879-894 (1996)
DOI: 10.1080/00420989650011645
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