{"title":"Tobacco Control in New Tobacco Era","authors":"T. Tabuchi","doi":"10.7143/jhep.48.421","DOIUrl":"https://doi.org/10.7143/jhep.48.421","url":null,"abstract":"In Japan, heated tobacco products (HTPs) are rapidly becoming popular and more than 10% of the adult population already used HTPs. Based on the information currently available, the health risk of HTPs is not lower than that of combustible cigarettes. Instead of treating HTPs as an exception (for example, in the Health Promotion Act revised in 2018), we need to strongly promote tobacco control measures and smoking cessation support in every setting.","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127664274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Role of General Health Check in the Collaboration between Preventive Medicine and Clinical Practice","authors":"T. Wada, H. Sugimori, R. Goto","doi":"10.7143/jhep.48.413","DOIUrl":"https://doi.org/10.7143/jhep.48.413","url":null,"abstract":"","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132241867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Smoking Cessation Program Using Information and Communication Technology~In Order to Disseminate of Smoking Cessation Support Triggered by Health Checkups~","authors":"Y. Noda, Tomoyuki Tanigawa, Kohta Satake","doi":"10.7143/jhep.48.427","DOIUrl":"https://doi.org/10.7143/jhep.48.427","url":null,"abstract":"","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120951034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gastric Cancer Screening System to Achieve Eradication of Gastric Cancer","authors":"Takashi Ueda, H. Mori, Hidekazu Suzuki","doi":"10.7143/jhep.48.407","DOIUrl":"https://doi.org/10.7143/jhep.48.407","url":null,"abstract":"","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"22 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134034718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Lung Cancer Case that Took 10-year to Further Examination at Health Checkup","authors":"Hiroyuki Wakamatsu","doi":"10.7143/jhep.48.394","DOIUrl":"https://doi.org/10.7143/jhep.48.394","url":null,"abstract":"","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121837197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adopting a New Standard for Upper Gastrointestinal Series; Challenges to Overcome","authors":"Hiroyuki Wakamatsu","doi":"10.7143/jhep.48.400","DOIUrl":"https://doi.org/10.7143/jhep.48.400","url":null,"abstract":"At our institution, we perform upper gastrointestinal (GI) series on 10-15 patients on a daily basis. Upper GI series remains the core of stomach cancer screening. The new standard for GI x-ray imaging was formally introduced at our institution in April 2018. For the first two years, there were no cases of stomach cancer identified by upper GI series. In the third year, there were two cases of stomach cancer that were identified after ingesting barium. The second case that was identified in June was early-stage cancer. We identified several areas of improvement through these two cases. First, the primary physician in charge of explaining the results of the examination was uninformed because technicians were unaware of the presence of lesions and did not order additional imaging. Second, we failed to strongly encourage patients to undergo follow-up tests despite their H. pylori -positive status from the previous year. It is important to maintain and improve the imaging skills of radiologists, and to ensure that our physicians are skilled at interpreting upper GI series.","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127217722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nana Suzuki, N. Kishimoto, Takeo Shibata, Kengo Moriyama, Akina Mine, Nobushige Yukumatsu, Y. Kageyama, C. Yamada, S. Takashimizu, Y. Shiina, Y. Nishizaki
{"title":"Effects of BMI changes over two years on lifestyle-related diseases","authors":"Nana Suzuki, N. Kishimoto, Takeo Shibata, Kengo Moriyama, Akina Mine, Nobushige Yukumatsu, Y. Kageyama, C. Yamada, S. Takashimizu, Y. Shiina, Y. Nishizaki","doi":"10.7143/jhep.2020-31","DOIUrl":"https://doi.org/10.7143/jhep.2020-31","url":null,"abstract":"Objectives:Objectives: Increase in lifestyle-related diseases with high BMI has been shown in numerous epidemiological studies. The present study was a comparative investigation of the effects of changes in BMI over two years on representative lifestyle-related disease onset and normalization. Subjects: A total of 10,109 subjects (5,766 males and 4,343 females) who underwent annual health check-ups at Tokai University Hospital’s Health Screening Center in 2014 and 2016 were included in this study. Methods:Methods: Based on the WHO classification of obesity, and standard weight according to the Japan Society of Obesity, in 2014 the subjects were divided into four groups, by BMI, and in 2016 each group was divided into four groups, by BMI, to make 16 groups in total. The new-onset and normalization rates for hypertension, diabetes and dyslipidemia during this two year period were compared between the groups, with classification by sex. Results:Results: With both males and females, the hypertension new-onset rate increased with increasing BMI, but the new-onset rate also increased significantly in the groups showing BMI decrease. The diabetes new-onset rate increased with increasing BMI, but females who were slimmer than standard body type also showed increased normalization rate with BMI increase. With both males and females, the dyslipidemia new-onset rate increased with increasing BMI, and the normalization rate increased with decreasing BMI, but these relationships were weak with females. Conclusion:Conclusion: Changes in BMI are associated with new-onset and normalization rates, especially for dyslipidemia. Although hypertension and diabetes are associated with changes in BMI and new-onset and normalization rates, the involvement of other lifestyle-related factors must also be considered.","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129294722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Azumi Maie, S. Kanekuni, Y. Yonekura, K. Nakayama, Rieko Sakai
{"title":"Evaluating short versions of the European Health Literacy Survey Questionnaire (HLS-EU-Q47) for health checkups","authors":"Azumi Maie, S. Kanekuni, Y. Yonekura, K. Nakayama, Rieko Sakai","doi":"10.7143/JHEP.2020-28","DOIUrl":"https://doi.org/10.7143/JHEP.2020-28","url":null,"abstract":"Objective:Objective: The benefit of health literacy (HL) on adopting a healthy lifestyle is well established and enhancing HL as part of regular health checkups contributes to the prevention of lifestyle-related diseases. Tuned health advices requires preliminary assessment of HL. To balance evaluation precision and cumbersomeness, we aimed to find the most parsimo nious questionnaire for our checkups. Methods:Methods: Participants (n = 714 with 55% female, 51.2 ± 10.9 years old) were recruited among the examinees who visited our checkups, and a cross-sectional survey was conducted by using the Japanese version of the European Health Literacy Survey Questionnaire (HLS-EU-Q47). Three short versions of HLS-EU-Q47 (HLS-Q12, HL-SF12, and HLS-EU-Q16), were explored using confirmatory factor analysis (CFA) to assess dimensionality and factorial validity together with Rasch analysis (RA) to provide detailed information at the item level. Results:Results: Using likelihood-ratio tests, we found that all three short versions were better fit under a three-dimensional Rasch model (health care, disease prevention and health promotion) than one-dimensional one. All of them were above threshold for person separation reliability (PSR > 0.65), with only moderate loss of separation compared to HLS-EU-Q47. CFA supported the factor structure of the three domains, and HLS-Q12 has the best goodness-of-fit indices. Conclusions:Conclusions: Among the parsimonious questionnaire that we compared, HLS-Q12 is the best candidate, meeting the assumptions and the requirements of objective measurement while offering clinically feasible screening during regular checkups. In the next phase, we will evaluate the benefit of using individual’s HL to tune life-style improvement advice.","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126421457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Wada, Miyuki Suzuki, R. Nakae, Tsunehito Shiraishi
{"title":"The Analysis of Treatments after Further Examination of Cervical Cancer Screening on Bethesda System Classification","authors":"M. Wada, Miyuki Suzuki, R. Nakae, Tsunehito Shiraishi","doi":"10.7143/jhep.48.311","DOIUrl":"https://doi.org/10.7143/jhep.48.311","url":null,"abstract":"","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123750708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pulmonary Structure and the Way of Infection, the Clinical Course and Risk Factors of Serious Condition in COVID-19","authors":"I. Kuwahira","doi":"10.7143/JHEP.48.213","DOIUrl":"https://doi.org/10.7143/JHEP.48.213","url":null,"abstract":"SARS-CoV-2 invades a host cell through angiotensin-converting enzyme 2 (ACE2) receptor, and infection is established. A symptom such as a cold develops, but a digestive organ symptom, taste disorder and sense of smell disorder are seen. A latency period is 1-14 days (the most frequent is 5 days). Droplet infection and contact infection are the main infection course. 80% of patients are mild, and 20% of remainder needs hospitalization. Case fatality rate is 2-3%. The risk factors of the aggravation include advanced age (65 years or older), the malignant tumor, chronic obstructive pulmonary disease (COPD), chronic kidney disease, type 2 diabetes, high blood pressure, hyperlipidemia, obesity and a smoking custom. In the sex, a man is higher in the death rate than a woman. After having recovered, a variety of symptoms are prolonged, and the subsequent complications (aftereffects) are also problems.","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131535707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}