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首都圏アンダークラスのメンタルヘルス 片瀬一男 浅川達人 1. 1.1. 20 40 2013 2011, 2017 1 1 25 34 35 44 1 : 1988-2001 2 1-3 1 2017 JLCP 2017 : 133-137 21

179 25 34 2000 2000 2017 25 34 26% 35 44 28% 2013 : 257-259 Myrdal, 1963=1964 Bhalla and Lapeyre, 2004=2005 Myrdal, 1963=1964 1980 1990 2013, 2018 2017 = Epstein=Andersen 1999=2000 2 2 2017 22

1.2. 2009 2004 35 2009 1990 2006 3 - Karasek and Theorell, 1990 Karasek and Theorell, 1990 Inoue, et al., 2010 2007-2017 2017 1 2017 : 5 3 2009 2001 : 2006 POS 2009 23

179 40 - - - 2. 2016 2017 2017 2006 : 2007 : 2004 1990 2007, Asakawa 2016 Kawachi and Kennedy 2002=2004 ; 2015 60 km 24

2004 2017 16 50 20 69 2016 7 10 5,631 2,351 41.8% 35 59 Kessler et al. 2002 6 K6 Furukawa et al. 2008-2017, 2018 4 2008 : 2011 3. 2 35 59 40 68% 5 3 40 35-39 4 2 5 36.3 50.9% 40 2017 25

179 2 3 4. 4.1. K6 4 K6 F=9.52, df=4,1445, p<0.05 5% K6 5 2011 46.6% 38.4% 36.9% 42.9% 26

4 K6 4.2. 1 : 1 I II - - I - 1. : I II III IV 0.014 0.012 0.025 0.001 0.088 0.054 0.060 0.079 0.004 0.070 0.034 0.067 0.067 0.012 0.049 0.003 0.092 0.063 0.114 0.024-0.284 0.195 0.223 R 2 0.014 0.091 0.047 0.059 p<0.01 p<0.001 27

179 III IV 6 4.3. 2 : 2005 SSM 2008 2011 1 2 2011 : 109-110 2011 6 2006 28

50 Tsutsumi et al. 2001a : 2001b 2005 SSM 35 2011 - - 7 AIC Kreft and Leeuw 1998 2009 9 8 1 2 9 1 2 V 0.1% VI 7 - Siegrist 1969 8 9 9 2014 : 264-266 - - - - 29

179 2 2 : V VI VII VIII 0.486 0.701 0.243 0.061 0.05 0.061 0.17 0.617 0.315 0.456 0.171 0.294 1.174 1.26 0.699 0.355 0.379 4.597 4.597 4.616 4.597 G 0.117 G 0.161 AIC 10137.992 10073.39 9822.803 9552.452 p<0.01 p<0.001 1 I I 2 VII VIII 1 IV 1 IV AIC 2 4 1 30

5. : 1990 2000 186 343 34% 350 24.1% 200 39% 2017, 2018 2017, 2018 26% 66% 1998 2017 Karasek and Theorell, 1990 Marx 1862=1964 : 234 31

179 20 Braverman 1974=1978 10 4 4 4 4 4 4 Braverman 1974=1978 : 55 Braverman 1974=1978 : 317-444 Marx 1962=1994 : 92 Karasek and Theorell, 1990 : 77 2018 : 79-114 10 2017 Braverman 1974=1978 2017 2015 SSM 32

procedural justice Thibau and Walker 1975 interpersonal/relational justice Bies and Moag 1986 2 Bies and Moag 1986-2009 Inoue et al. 2010 27 30 A 15H01970 : Asakawa, Tatsuto, 2016, Changes in the Social - Spacial Structures in Tokyo Metroporitan Areas Development and Society. 45 3 : 537-562. 2017 2 : : 90 Bhalla A.S. and Frédéric Lapeyre, 2004, Poverty and Exclusion in a Global World. 2 nd. Edition, Palgrave Macmillan. =2005 : Bies, Robert and Joseph S. Moag, 1986, Interpersonal Justice : Communication Criteria of Fairness in Roy J. Lewicki, Shsppard Blair and Max H. Bazerman eds. Research on Negotiation Organization. Vol. 1. JAI Press : 43-55. Braverman, Harry, 1974, Labor and Monopoly Capital : The Degradation of Work in the Twentieth Century. Monthly Review Press 1978 : 20 Epstein=Andersen, Gosta, 1999, Social Foundations of Postindustrial Economies, Oxford University Press =2000, 33

179 Furukawa, A. Toshiaki, et al. 2008, The Performance of the Japanese version of the K6 and K10 in the World Mental Health Survey Japan. Intnational Journal of Methods of Psychiatric Resarch. 17 3 : 152-158. 1998 : 10 10-2 : 55-70. 2006 : 35 : 19-46. 2013 : 2017 1 : 90 2018 2004 : JILPT No. I Inoue, Akiomi, et al. 2010, Association of Occupation, Employment Contract, and Company Size with Mental Health in a National Representative Sample of Employees in Japan. Journal of Occupational Health, 52 : 227-240., 2010, Occupational Justice, Psychological Distress, and Work Engagement in Japanese Workers. International Archives Occupational Environmental Health. 83 : 29-38. 2007 : Karasek, Robert, A. Jr. and Töres Theorell, 1990, Healthy Work : Strss, Productivity and the Reconstruction of Working Life. Basic Books. 2009 : / 2005 10 2005 SSM : 43-53. 2011 3 : 159-171. Kawachi, Ichiro and Bruce P. Kennedy, 2002, The Health of Nations : Why Inequality is Harmful to Your Health. New Press. 2004 2011 K6 2011/12/17 2015 : Kessler Ronald C, et al. 2002, Short Screening Scales to Monitor Population Prevalences and Trends in Non - specific Psychological Distress. Psychological Medicine, 32 6 : 959-976. Kreft, Ita and Jan de Leeuw 1998, Introducing Multilevel Modeling, Sage. 2009 2017 : 2015 SSM 90 : 316. 2004 Marx, Karl, 1962, Ökonomisch - philosophische Manuskripte aus dem Jahre 1844 ; Karl Marx Friedrich Engels historisch - kritische Gesamtausgabe, im Auftrage des Marx - Engels - Instituts, Herausgegeben von V. Adoratskij, Erste Abteilung, Bd. 3, Marx - Engels - Verlag G.M.B.H. =1964, 1867, Karl Marx. Das Kapital. Kritik der politischen Ökonomie. Friedrich Engels Werke, Band 23. Erster Band. Buch I : Der Produktionsprozeß des Kapitals. Institut für Marxismus - Leninismus beim ZK der SED, Dietz Verlag. =1964 = 1 1 Myrdal, Gunnar, 1963, Challenge to Affluence, Pantheon Books =1964 34

2017 : ISSP 90 : 272. 2008 : 2005 SSM 4 2005 SSM : 103-125. 2011 1 : 97-111. 2011 1 : 21-64. 2017 : 143-170. 2006 56 4 : 847-563. 2001 497. Siegrist, Jonasan, 1969, Adverse Health Effects of High - Effort/Low - Reward Conditions. Journal of Occupational Health Psychology. 1.1. : 27-41. 2006 : 2017 : 2006 Thibau, John and Laurens Walker, 1975, Proceduarl Justice : A Psychological Analysis. Erlbaum. 2004 SPSS 2007 25 :5-21. Tsutsumi, Akizumi et al. 2001a., Association between Job Stress and Depression among Japanese Employment threatened by Job Loss in a Comparison between two Complementary Job - stress Models. Scandina Journal of Work Environmental Health, 27 2 : 146-153., et al. 2001b., Association between Job Strain and Prevalence of Hypertension : A Cross Sectional Analysis in a Japanese Working Population with a Wide Range of Occupation : The Jichi Medical School Cohort Study. Occupational Environment Medicine, 58 : 376-373. 2009 7 : 53-89. 2004 : 35