# Social, Economic, and Ethico-Political Determinants of Psychosomatic Health Disparities: Equity and Fairness Under COVID-19 in Japan

## TL;DR

This study explores how social, economic, and political factors in Japan during the pandemic affected both mental and physical health disparities.

## Contribution

The paper introduces the concept of 'psychosomatic health' to highlight the interconnectedness of physical and psychological health disparities.

## Key findings

- Social, economic, and political factors significantly influence psychosomatic health disparities.
- Communitarian interventions are needed to address health inequities through integrated policies.
- Both static and dynamic analyses confirm the importance of non-biological factors in health disparities.

## Abstract

Introduction: This study examined how social, economic, and political factors influenced psychological and physical health disparity in Japan during the COVID-19 pandemic. Method: Using survey data from three surveys from 2020 to 2021, we identified significant associations between well-being and biological, economic, social, and ethico-political dimensions. Results: Key findings suggest that not only biological factors, but also social, economic, and political factors are essential for the psychosomatic health disparities in static and dynamic analysis. Discussion: This paper proposes the term psychosomatic health by proving the correlation between physical and psychological health disparities. Conclusion: Accordingly, communitarian intervention, the multi-dimensional and integrated policy that addresses not only economic needs but also social and political equity/fairness, is required.