Journal of Epidemiology最新文献

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News Coverage of Older Drivers' Fatal Car Crashes: Is It Over-represented? 关于老年司机致命车祸的新闻报道:是否报道过多?
IF 3.7 2区 医学
Journal of Epidemiology Pub Date : 2025-05-05 Epub Date: 2025-03-31 DOI: 10.2188/jea.JE20240299
Masao Ichikawa, Rie Tanaka, Akito Nakanishi, Yukie Sano
{"title":"News Coverage of Older Drivers' Fatal Car Crashes: Is It Over-represented?","authors":"Masao Ichikawa, Rie Tanaka, Akito Nakanishi, Yukie Sano","doi":"10.2188/jea.JE20240299","DOIUrl":"10.2188/jea.JE20240299","url":null,"abstract":"<p><strong>Background: </strong>Japan's stringent licensing policies for older drivers have not been questioned, possibly due to negative perceptions of older drivers potentially influenced by media coverage of their car crashes. We examined whether older drivers' fatal crashes are over-represented in news articles.</p><p><strong>Methods: </strong>To examine the news coverage of fatal crashes that occurred between January 2016 and December 2020, we extracted driver- and crash-related data from articles reporting fatal crashes in the two best-selling newspapers, Yomiuri and Asahi. We obtained the corresponding data of police-reported fatal crashes during the same period. We calculated the proportion of newspaper-reported fatal crashes to police-reported fatal crashes by at-fault driver's age group and crash characteristics.</p><p><strong>Results: </strong>Of 12,987 police-reported fatal crashes, 5,888 (45%) and 2,909 (22%) crashes were reported in Yomiuri and Asahi newspapers, respectively. Excluding 2,098 crashes where at-fault drivers or their ages were not identifiable, Yomiuri reported 39%, 35%, and 31%, and Asahi reported 20%, 16%, and 14% of fatal crashes caused by drivers aged <30 years, 30-69 years, and 70 years or older, respectively. Crashes that caused more fatalities or killed children tended to be reported regardless of at-fault drivers' age groups. Compared with young and middle-aged drivers, older drivers' fatal crashes involving child fatalities were more often reported, whereas their single fatal crashes ending in their own deaths were less often reported.</p><p><strong>Conclusion: </strong>Older drivers' at-fault fatal crashes were not over-represented in the news coverage of overall fatal crashes, and their crashes killing themselves were under-reported.</p>","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":"245-249"},"PeriodicalIF":3.7,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11979347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142501724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patterns of Use of Heated Tobacco Products: A Comprehensive Systematic Review. 加热烟草制品的使用模式:一项全面的系统综述。
IF 3.7 2区 医学
Journal of Epidemiology Pub Date : 2025-05-05 Epub Date: 2025-03-31 DOI: 10.2188/jea.JE20240189
Marco Scala, Giulia Dallera, Giuseppe Gorini, Jérémie Achille, Anne Havermans, Clara Neto, Anna Odone, Luc Smits, Antonella Zambon, Alessandra Lugo, Silvano Gallus
{"title":"Patterns of Use of Heated Tobacco Products: A Comprehensive Systematic Review.","authors":"Marco Scala, Giulia Dallera, Giuseppe Gorini, Jérémie Achille, Anne Havermans, Clara Neto, Anna Odone, Luc Smits, Antonella Zambon, Alessandra Lugo, Silvano Gallus","doi":"10.2188/jea.JE20240189","DOIUrl":"10.2188/jea.JE20240189","url":null,"abstract":"<p><strong>Introduction: </strong>Relative or absolute safety of heated tobacco products (HTPs) remains unknown, while independent literature suggests that these products do not favor tobacco control. We conducted a comprehensive systematic review and meta-analysis to evaluate HTP usage patterns and the effect of HTP use on conventional tobacco smoking (use transitions).</p><p><strong>Methods: </strong>We used Pubmed/MEDLINE, Embase, and the Cochrane Library to identify all articles published up to February 2022 on HTP use. For the present review, we included all representative cross-sectional studies dealing with HTP use, and all prospective cohort studies or cross-sectional studies on conventional tobacco smoking transitions due to HTP use. From 610 non-duplicate articles, 76 were eligible (71 cross-sectional and 5 prospective cohort studies).</p><p><strong>Results: </strong>Compared with young adults, HTP use was less frequent among middle-aged (15 studies; pooled odds ratio [OR] 0.59; 95% confidence interval [CI], 0.48-0.74) and older adults (12 studies; OR 0.17; 95% CI, 0.07-0.38). HTP use was more frequent among former (6 studies; OR 2.73; 95% CI, 1.03-7.25) and current smokers (12 studies; OR 14.53; 95% CI, 6.34-33.31). Overall, 68.3% of HTP users were dual users (n = 26). Eight studies (including 5 cohorts) showed that HTP users were more likely than non-users to start conventional cigarette smoking (2 studies; OR 6.31; 95% CI, 4.13-9.65), whereas current cigarette smokers using HTPs were less likely to quit (4 studies; OR 0.84; 95% CI, 0.80-0.89).</p><p><strong>Conclusion: </strong>We found that HTPs are specifically popular among young generations. More than two out of three HTP users are dual users. Prospective studies consistently show that, in real life, HTPs are not effective smoking-cessation tools.</p>","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":"213-221"},"PeriodicalIF":3.7,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11979348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhancing the Understanding of Paternal Involvement in Childcare and Its Impact on Maternal Disciplinary Practices. 加强对父亲参与育儿及其对母亲管教方式影响的了解。
IF 3.7 2区 医学
Journal of Epidemiology Pub Date : 2025-05-05 Epub Date: 2025-01-31 DOI: 10.2188/jea.JE20240235
Hong Pan
{"title":"Enhancing the Understanding of Paternal Involvement in Childcare and Its Impact on Maternal Disciplinary Practices.","authors":"Hong Pan","doi":"10.2188/jea.JE20240235","DOIUrl":"10.2188/jea.JE20240235","url":null,"abstract":"","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":"250-251"},"PeriodicalIF":3.7,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11979346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141889450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Response to the Letter: "Enhancing the Understanding of Paternal Involvement in Childcare and Its Impact on Maternal Disciplinary Practices". 关于 "父亲参与育儿和家务劳动与母亲打屁股行为 "的回信:21 世纪日本新生儿纵向调查 "的回信。
IF 3.7 2区 医学
Journal of Epidemiology Pub Date : 2025-05-05 Epub Date: 2025-03-31 DOI: 10.2188/jea.JE20240433
Mako Nagayoshi, Yuko Kachi, Tsuguhiko Kato, Manami Ochi, Yuichi Ichinose, Takayuki Kondo, Kenji Takehara
{"title":"Response to the Letter: \"Enhancing the Understanding of Paternal Involvement in Childcare and Its Impact on Maternal Disciplinary Practices\".","authors":"Mako Nagayoshi, Yuko Kachi, Tsuguhiko Kato, Manami Ochi, Yuichi Ichinose, Takayuki Kondo, Kenji Takehara","doi":"10.2188/jea.JE20240433","DOIUrl":"10.2188/jea.JE20240433","url":null,"abstract":"","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":"252-253"},"PeriodicalIF":3.7,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11979350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maternal Abnormal Liver Function in Early Pregnancy and Spontaneous Pregnancy Loss: A Retrospective Cohort Study. 孕早期母体肝功能异常与自然妊娠流产:一项回顾性队列研究。
IF 3.7 2区 医学
Journal of Epidemiology Pub Date : 2025-05-05 Epub Date: 2025-03-31 DOI: 10.2188/jea.JE20240233
Huibin Yang, Tianyi Tang, Qianlei Qian, Xiaohua Zhang, Yinan Liu, Xiaoyan Zhou, Yanling Zhang, Longmei Jin, Xiaotian Chen
{"title":"Maternal Abnormal Liver Function in Early Pregnancy and Spontaneous Pregnancy Loss: A Retrospective Cohort Study.","authors":"Huibin Yang, Tianyi Tang, Qianlei Qian, Xiaohua Zhang, Yinan Liu, Xiaoyan Zhou, Yanling Zhang, Longmei Jin, Xiaotian Chen","doi":"10.2188/jea.JE20240233","DOIUrl":"10.2188/jea.JE20240233","url":null,"abstract":"<p><strong>Background: </strong>Spontaneous pregnancy loss (SPL) precedes an increased risk of reduced fertility, while its etiology mechanism remains largely unknown. Liver dysfunction presenting in early pregnancy may represent a pre-existing undiagnosed liver condition affecting fetal development. Here, we investigated whether maternal abnormal liver function in early pregnancy contributed to the incidence of SPL.</p><p><strong>Methods: </strong>Data on pregnant women were leveraged from the Maternal Health Care Information System in Shanghai City from 2017 to 2021. Liver dysfunction status was defined as having any elevated liver function biomarker levels (LFBs) at the first antenatal visit. SPL cases were defined as fetal death occurring before 28 weeks gestation. Generalized linear models were used to estimate crude and adjusted risk ratios (RRs and aRRs, respectively) and 95% confidence intervals (CIs).</p><p><strong>Results: </strong>Among 10,175 leveraged pregnant women, 918 (9.0%) SPL cases were recorded. Maternal liver dysfunction in early pregnancy was associated with a 49% increased risk of SPL (RR 1.49; 95% CI, 1.22-1.84). This positive association persisted after adjustment for covariates (aRR 1.55; 95% CI, 1.26-1.92). Higher γ-glutamyl transferase (GGT) and alkaline phosphatase (ALP) levels were also linked with increased risk of SPL in a linear fashion (aRRs per 1 standard deviation increase: 1.13; 95% CI, 1.08-1.17 and 1.13; 95% CI, 1.07-1.20, respectively). Similar magnitudes of associations were observed between normal weight and overweight pregnant women in subgroup analysis.</p><p><strong>Conclusion: </strong>We provide new evidence that maternal abnormal liver function in early pregnancy, as well as GGT and ALP, predisposes to an increased risk of SPL.</p>","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":"230-236"},"PeriodicalIF":3.7,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11979345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cohort Profile: The Iodine Status in Pregnancy and Offspring Health Cohort (ISPOHC). 队列概况:妊娠期碘状况和后代健康队列(ISPOHC)。
IF 3.7 2区 医学
Journal of Epidemiology Pub Date : 2025-05-03 DOI: 10.2188/jea.JE20240349
Zhuo Sun, Huiting Yu, YiXian Li, Wei Lu, Zhengyuan Wang, Qi Song, Shupeng Mai, Zehuan Shi, Liping Shen, Wenqing Ma, Xin Cui, Chen Xin, Jiajie Zang
{"title":"Cohort Profile: The Iodine Status in Pregnancy and Offspring Health Cohort (ISPOHC).","authors":"Zhuo Sun, Huiting Yu, YiXian Li, Wei Lu, Zhengyuan Wang, Qi Song, Shupeng Mai, Zehuan Shi, Liping Shen, Wenqing Ma, Xin Cui, Chen Xin, Jiajie Zang","doi":"10.2188/jea.JE20240349","DOIUrl":"https://doi.org/10.2188/jea.JE20240349","url":null,"abstract":"<p><p>The ISPOHC was initiated in Shanghai to address the need for a comprehensive and longitudinal study on iodine nutrition and its effects on maternal and offspring health. The findings based on the Shanghai population can serve as a reference for other megacities experiencing significant dietary changes simultaneously. ISPOHC utilized a stratified cluster random sampling design, enrolling 5099 pregnant women from all 16 districts of Shanghai. The survey has been conducted in three phases. Data collected at different time points include health status, living habits, dietary intake, birth, feeding, early development, anthropometric measurements, and biomarkers, allowing for an in-depth evaluation of iodine nutrition's impact on offspring development. Data were collected through a combination of questionnaires, home visits, anthropometric measurements, and biological sample collection. The integration of detailed food investigation and on-site weighing of household seasonings provides a more precise assessment of dietary iodine intake, particularly iodized salt consumption, distinguishing this study. The study has provided significant insights into the relationship between iodine nutrition during pregnancy and various health outcomes.</p>","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of the COVID-19 Pandemic on New Long-term Care Insurance Applications and All-Cause Mortality in Older Adults in a Japanese Metropolitan Cohort: An Interrupted Time-Series Analysis. COVID-19大流行对日本大都市队列中老年人新的长期护理保险申请和全因死亡率的影响:一项中断时间序列分析
IF 3.7 2区 医学
Journal of Epidemiology Pub Date : 2025-05-03 DOI: 10.2188/jea.JE20240464
Satoshi Seino, Toshiki Hata, Hiroki Mori, Shoji Shinkai, Yoshinori Fujiwara, Erika Kobayashi
{"title":"Impact of the COVID-19 Pandemic on New Long-term Care Insurance Applications and All-Cause Mortality in Older Adults in a Japanese Metropolitan Cohort: An Interrupted Time-Series Analysis.","authors":"Satoshi Seino, Toshiki Hata, Hiroki Mori, Shoji Shinkai, Yoshinori Fujiwara, Erika Kobayashi","doi":"10.2188/jea.JE20240464","DOIUrl":"https://doi.org/10.2188/jea.JE20240464","url":null,"abstract":"<p><strong>Purpose: </strong>New long-term care insurance (LTCI) certifications and mortality are key outcomes in cohort studies involving older adults; however, the coronavirus disease 2019 (COVID-19)'s comprehensive impacts on these outcomes remain underexplored. We examined the pandemic's impact on new LTCI applications and all-cause mortality in a metropolitan cohort.</p><p><strong>Methods: </strong>In 2016, 15,500 individuals aged 65-84 years were randomly selected through stratified sampling from Ota City, Tokyo. LTCI and death records were tracked through December 2023; the monthly LTCI applications and all-cause deaths per 10,000 people were calculated. The COVID-19 pandemic period was defined as beginning in March 2020, after the World Health Organization Director-General characterized the situation as a pandemic on March 11, 2020. Interrupted time-series segmented regression analysis was used to compare trends pre- (January 2018-February 2020) and post-pandemic onset (March 2020-December 2023).</p><p><strong>Results: </strong>From January 2018 to December 2023, 4083 new LTCI applications and 2457 deaths were recorded. New monthly LTCI applications showed a modest upward trend pre-pandemic (0.4 per 10,000 people, 95% confidence interval [CI]: 0.1-0.8), declined sharply at the pandemic's onset (-9.6 per 10,000 people, 95% CI: -16.0 to -3.2), and subsequently increased at a higher rate than pre-pandemic levels (0.8 per 10,000 people, 95% CI: 0.6-1.0). Monthly all-cause deaths remained stable before and immediately after the pandemic's onset but rose slightly in the post-pandemic period (0.3 per 10,000 people per month, 95% CI: 0.2-0.5).</p><p><strong>Conclusions: </strong>The COVID-19 pandemic influenced both new LTCI applications and all-cause mortality in this study. These impacts should be carefully considered in cohort studies examining these outcomes.</p>","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COVID-19-specific prefectural hospital bed utilization rate and in-hospital mortality among COVID-19 patients throughout the first three years of the pandemic in Japan. 在日本大流行的头三年,COVID-19患者的特定县医院床位利用率和住院死亡率。
IF 3.7 2区 医学
Journal of Epidemiology Pub Date : 2025-04-19 DOI: 10.2188/jea.JE20240395
Hitomi Kimura, Mariko Hosozawa, Yuta Taniguchi, Kazumasa Yamagishi, Koji Kitajima, Mari Terada, Yusuke Asai, Norio Ohmagari, Hiroyasu Iso
{"title":"COVID-19-specific prefectural hospital bed utilization rate and in-hospital mortality among COVID-19 patients throughout the first three years of the pandemic in Japan.","authors":"Hitomi Kimura, Mariko Hosozawa, Yuta Taniguchi, Kazumasa Yamagishi, Koji Kitajima, Mari Terada, Yusuke Asai, Norio Ohmagari, Hiroyasu Iso","doi":"10.2188/jea.JE20240395","DOIUrl":"https://doi.org/10.2188/jea.JE20240395","url":null,"abstract":"<p><strong>Background: </strong>We examined the association between the COVID-19-specific prefectural bed utilization rate and in-hospital mortality during the first three years of the pandemic in Japan.</p><p><strong>Methods: </strong>This nationwide study included 58,175 COVID-19 patients from the COVID-19 Registry Japan, hospitalized between May 1, 2020 and November 30, 2022. Based on the weekly COVID-19-specific bed utilization rate in each prefecture at diagnosis, patients were categorized into four groups (< 25%, 25% to < 50%, 50% to < 75%, and ≥ 75%). Odds ratios (ORs) were estimated by fitting a generalized linear mixed model with prefecture as a random intercept and adjusting for covariates (age, gender, body mass index, smoking and drinking status, and comorbidities). Additional analyses according to age group, gender, and wave of the pandemic were conducted.</p><p><strong>Results: </strong>We observed 2312 (4.0%) all-cause in-hospital deaths. All-cause in-hospital mortality increased with higher COVID-19 bed utilization rates at diagnosis (OR for multivariable model 1.35, 95% confidence interval [CI] 1.19-1.54 for 25% to <50%; 1.89, 1.66-2.16 for 50 to <75%; 2.16, 1.80-2.58 for ≥75%; P for trend<0.0001). Stronger associations were noted among the younger population (aged <70 years, OR: 3.18, 1.96-5.19) and during the fourth (March 1-June 30, 2021, OR: 3.81, 2.13-6.80) and sixth pandemic waves (January 1-Jun 30, 2022, OR: 2.67, 1.68-4.23).</p><p><strong>Conclusions: </strong>Our results emphasize that preventing hospital bed shortages during outbreaks is an important public health strategy to reduce the associated mortality, particularly when new strains emerge and in younger people.</p>","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychological and physical stress response and incidence of irregular menstruation in female university employees: a retrospective cohort study. 女大学生生理和心理应激反应与月经不调发生率的回顾性队列研究。
IF 3.7 2区 医学
Journal of Epidemiology Pub Date : 2025-04-19 DOI: 10.2188/jea.JE20240424
Yuichiro Matsumura, Ryohei Yamamoto, Maki Shinzawa, Yuko Nakamura, Sho Takeda, Masayuki Mizui, Isao Matsui, Yusuke Sakaguchi, Asami Yagi, Yutaka Ueda, Chisaki Ishibashi, Kaori Nakanishi, Daisuke Kanayama, Hiroyoshi Adachi, Izumi Nagatomo
{"title":"Psychological and physical stress response and incidence of irregular menstruation in female university employees: a retrospective cohort study.","authors":"Yuichiro Matsumura, Ryohei Yamamoto, Maki Shinzawa, Yuko Nakamura, Sho Takeda, Masayuki Mizui, Isao Matsui, Yusuke Sakaguchi, Asami Yagi, Yutaka Ueda, Chisaki Ishibashi, Kaori Nakanishi, Daisuke Kanayama, Hiroyoshi Adachi, Izumi Nagatomo","doi":"10.2188/jea.JE20240424","DOIUrl":"https://doi.org/10.2188/jea.JE20240424","url":null,"abstract":"<p><p>Background This study aimed to assess a clinical relevance of three-dimensional occupational stress (job stressor score [A score], psychological and physical stress response score [B score], and social support for workers score [C score]) of the Brief Job Stress Questionnaire (BJSQ) in the national stress check program in Japan to irregular menstruation.Methods The present retrospective cohort study included 2,078 female employees aged 19-45 years who had both annual health checkups and the BJSQ between April 2019 and March 2022 in a national university in Japan. The outcome was self-reported irregular menstruation measured at annual health checkups until March 2023. A dose-dependent association between BJSQ scores and incidence of irregular menstruation was examined using Cox proportional hazards models to calculate multivariable-adjusted hazard ratios (HRs) of four quantile (0-49% [Q<sub>0-49</sub>], 50-74% [Q<sub>50-74</sub>], 75-89% [Q<sub>75-89</sub>], and 90-100% [Q<sub>90-100</sub>]) of the BJSQ scores.Results During 2.0 years of the median observational period, 257 (12.4%) women reported irregular menstruation. B score, not A or C scores, was identified as a significant predictor of irregular menstruation (adjusted HR [95% confidence interval] of A, B, and C scores per 1 standard deviation: 1.06 [0.89-1.27], 1.35 [1.15-1.57], and 0.93 [0.80-1.08], respectively). Women with higher B score had a significantly higher risk of irregular menstruation in a dose-dependent manner (adjusted HR [95% confidence interval] of Q<sub>0-49</sub>, Q<sub>50-74</sub>, Q<sub>75-89</sub>, and Q<sub>90-100</sub>: 1.00 [reference], 1.38 [1.00-1.90], 1.48 [1.00-2.18], and 2.18 [1.38-3.43], respectively).Conclusions Psychological and physical stress response predicted irregular menstruation.</p>","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Discomfort Experienced due to the Odor and Physiological Responses of Residual Tobacco Smoke Brought into Workplaces by Smokers on Work Performance and Mental Health. 吸烟者带入工作场所残留烟草烟雾的气味和生理反应对工作绩效和心理健康的影响。
IF 3.7 2区 医学
Journal of Epidemiology Pub Date : 2025-04-19 DOI: 10.2188/jea.JE20240354
Kosuke Kiyohara, Takaaki Ikeda, Tomohiro Ishimaru, Ryo Okubo, Takahiro Tabuchi
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